Organization
MODO OPTICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA SANTIAGO (PRESIDENT)
(939) 405-4799
Entity
Organization
Contact information
Practice address
SUITE 1B CALLE 1 AX-1 PRADERA NORTE, URB LEVITTOWN, TOA BAJA, PR 00949-9999
(939) 405-4799
Mailing address
143 URB LAS PALMAS DE CERRO GORDO, VEGA ALTA, PR 00692
(939) 405-4799
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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