Organization
EYE CENTER COROZAL CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN M ORTIZ (DOCTOR)
(787) 859-7958
Entity
Organization
Contact information
Practice address
950 COROZAL PLAZA CARR 981, SUITE 19, COROZAL, PR 00783
(787) 859-7958
(787) 859-7958
Mailing address
PO BOX 1837, COROZAL, PR 00783-1837
(787) 859-7958
(787) 859-7958
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
187
PR
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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