Organization
BEN ELOHIM
Active
Other names
ATLANTIS OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE BAEZ (PRESIDENT)
(787) 220-1414
Entity
Organization
Contact information
Practice address
AVE MONSERRATE, INSITE FARMACIA PUERTA DE CAROLINA, CAROLINA, PR 00985-5444
(787) 220-1414
Mailing address
PO BOX 8741, CAROLINA, PR 00988-8741
(787) 220-1414
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
332H00000X
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190715
CORPORATE ID #
PR
Enumeration date
02/07/2010
Last updated
02/07/2010
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