Organization
EYE EXPRESS 20-20
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN GLADYS GARCIA (OFFICE MANAGER)
(787) 876-5511
Entity
Organization
Contact information
Practice address
EYE EXPRESS 20-20, PLAZA RIAL, HWY 185, KM .9, CANOVANAS, PR 00729
(787) 876-5511
(787) 876-5511
Mailing address
PO BOX 938, CANOVANAS, PR 00729-0938
(787) 876-5511
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
167
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4104-5
PROSSAM
PR
01
—
890103
MMM
PR
Enumeration date
05/04/2007
Last updated
01/15/2024
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