Organization
URBAN OPTIC SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WANDA SANGIOVANNI O.D. (PRESIDENT)
(787) 502-4910
Entity
Organization
Contact information
Practice address
281A CALLE CLEMSON, UNIVERSITY GARDENS, SAN JUAN, PR 00927-4127
(787) 502-4910
Mailing address
CLEMSON 281-A, UNIVERSITY GARDENS, SAN JUAN, PR 00927-4020
(787) 502-4910
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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