Organization
OPTICAL AGUADILLA CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HECTOR DONATO (PRESIDENTE)
(787) 930-0069
Entity
Organization
Contact information
Practice address
88 CALLE B, URB. MARBELLA, AGUADILLA, PR 00603-3584
(787) 882-8365
Mailing address
88 CALLE B, URB. MARBELLA, AGUADILLA, PR 00603
(787) 882-8365
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0239
PR
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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