Organization
OPTICA LM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL MALDONADO (PRESIDENT)
(939) 640-0376
Entity
Organization
Contact information
Practice address
BAYAMON MEDICAL PLAZA 1845, CARR 2 STE 501, BAYAMON, PR 00959-9999
(939) 640-0376
Mailing address
PALMAS DE CERRO GORDO 144, CALLE REAL G-35, VEGA ALTA, PR 00692
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/09/2023
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