Organization
VISION 4 YOU CLINICA VISUAL DRA. FELICIANO CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HELBERT ROMAN (ADMINISTRATOR)
(787) 402-1906
Entity
Organization
Contact information
Practice address
809 CARR. 153 STE 7 LOCAL PLAZA, BO. PASO SECO, SANTA ISABEL, PR 00757
(787) 845-5278
(787) 558-7034
Mailing address
CALLE LOIRE # 43 VILLA SERENA, SANTA ISABEL, PR 00757
(787) 845-5278
(787) 558-7034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
295003
PR
207W00000X
Ophthalmology Physician
295-003
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
295-003
LICENSE
PR
01
—
58086
TRIPLE-S
PR
Enumeration date
08/05/2008
Last updated
02/02/2015
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