Organization
SOALIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDRIC VIVONI (MEMBER)
(787) 286-0941
Entity
Organization
Contact information
Practice address
HOSPITAL MENONITA CAGUAS, CARR. 172 URB TURABO GARDENS, CAGUAS, PR 00725
(787) 286-0941
Mailing address
1520 AVE ASHFORD APT 5, SAN JUAN, PR 00911-1115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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