Organization
CENTRO VISUAL DE COROZAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBINSON NEGRON OPTICIAN (OWNER)
(787) 859-5968
Entity
Organization
Contact information
Practice address
CARR 159 KM 13.4, ORTIZ MEDICAL PLAZA, COROZAL, PR 00783
(787) 859-5968
(787) 859-5968
Mailing address
PO BOX 1687, COROZAL, PR 00783-1687
(787) 859-5968
(787) 859-5968
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
218
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051918
LA CRUZ AZUL DE PUERTO RI
PR
01
—
890040
MEDICARE Y MUCHO MAS
PR
Enumeration date
12/12/2006
Last updated
08/07/2008
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