Organization
FASHION EYES OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BELEN MALDONADO (LIC. OPTICIAN/ OPHTHALMIC ASS)
(787) 324-5679
Entity
Organization
Contact information
Practice address
SAN JORGE 357 APT 301, COND LAS TERESAS, SAN JUAN, PR 00912-1241
(787) 324-5679
Mailing address
PO BOX 10241, SAN JUAN, PR 00908-1241
(787) 324-5679
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
674
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457669160
1457669160
PR
Enumeration date
06/20/2011
Last updated
06/20/2011
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