Organization
EDRICK NIEVES GONZALEZ
Active
Other names
OJOS CENTRO OPTICO WEST
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDRICK NIEVES OPTICIAN (OWNER)
(787) 501-4333
Entity
Organization
Contact information
Practice address
975 AVE HOSTOS, SUITE 62, MAYAGUEZ MALL, MAYAGUEZ, PR 00680-1251
(787) 832-5540
(787) 832-5540
Mailing address
975 AVE HOSTOS, SUITE 62, MAYAGUEZ MALL, MAYAGUEZ, PR 00680-1251
(787) 832-5540
(787) 832-5540
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
03/22/2013
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