Organization
ARECIBO OPTICAL UTUADO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAROCK GONZALEZ ROMAN OPTICIAN (OWNER)
(939) 630-4602
Entity
Organization
Contact information
Practice address
29 CALLE DR CUETO, UTUADO, PR 00641-2887
(787) 894-1510
Mailing address
29 CALLE DR CUETO, UTUADO, PR 00641-2887
(787) 894-1510
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
01/09/2019
Last updated
01/09/2019
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