Organization
CHAIMARIE DIAZ GONZALEZ
Active
Other names
C-Eye Optical
Organization subpart
No
Provider details
NPI number
Authorized official
CHAIMARIE DIAZ GONZALEZ (OWNER)
(787) 403-8711
Entity
Organization
Contact information
Practice address
450 CALLE FERROCARRIL STE 102, PONCE, PR 00717-4105
(787) 403-8711
Mailing address
450 CALLE FERROCARRIL STE 102, PONCE, PR 00717-4105
(787) 403-8711
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7815100001
—
PR
Enumeration date
08/03/2020
Last updated
08/03/2020
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