Organization
CENTRO DIVA, INC
Active
Other names
CENTRO DIVA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIRSA M QUINONES O.D. (OPTOMETRIC SERVICES DIRECTOR)
(787) 812-3518
Entity
Organization
Contact information
Practice address
2830 AVE LAS AMERICAS, PONCE, PR 00717-2100
(787) 812-3518
(787) 812-3749
Mailing address
2830 AVE LAS AMERICAS, PONCE, PR 00717-2100
(787) 812-3518
(787) 812-3749
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
88
PR
Other
Enumeration date
10/03/2009
Last updated
10/03/2009
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