Organization
TU OPTICA EN SAN GERMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REINALDO M VAZQUEZ OD (ADMINISTRATOR)
(787) 264-2222
Entity
Organization
Contact information
Practice address
AVENIDA UNIVERSIDAD INTERAMERICANA #183, CENTRO COMERCIAL SAN GERMAN LOCAL #106, SAN GERMAN, PR 00683
(787) 264-2222
Mailing address
AVENIDA UNIVERSIDAD INTERAMERICANA #183, CENTRO COMERCIAL SAN GERMAN LOCAL #106, SAN GERMAN, PR 00683
(787) 264-2222
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
559
PROVIDER LICENSE
PR
Enumeration date
12/10/2018
Last updated
12/10/2018
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