Organization
VISION OFTALMOLOGOS, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER NIEVES M.D. (ADMINISTRATOR)
(787) 830-5784
Entity
Organization
Contact information
Practice address
3285 AVE MILITAR, ISABELA, PR 00662-4091
(787) 830-5784
(787) 830-2436
Mailing address
PO BOX 1967, ISABELA, PR 00662-1967
(787) 830-5784
(787) 830-2436
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12791
PR
332H00000X
Eyewear Supplier
12791
PR
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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