Organization
IQ OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YADIRA CALDERIN (ADMINISTRADOR)
(787) 286-6362
Entity
Organization
Contact information
Practice address
PMB 627 BOX 4952, CAGUAS, PR 00726
(787) 286-6362
(787) 286-6364
Mailing address
PMB 627, PO BOX 4952, CAGUAS, PR 00726
(787) 286-6362
(787) 286-6364
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
455
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50468
PREFERRED MEDICARE CHOICE
PR
01
—
7260081
HUMANA PRIVADO
PR
Enumeration date
04/26/2007
Last updated
08/22/2020
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