Organization
WCM VISUAL CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILFREDO CRUZ-MARTINEZ O.D. (PRESIDENT)
(787) 258-5394
Entity
Organization
Contact information
Practice address
10 CALLE AQUAMARINA, VILLA BLANCA, CAGUAS, PR 00725-1957
(787) 258-5394
(877) 883-4503
Mailing address
10 CALLE AQUAMARINA, VILLA BLANCA, CAGUAS, PR 00725-1957
(787) 258-5394
(877) 883-4503
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
440-0139
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6411
CORPORATE NUMBER
PR
Enumeration date
12/01/2010
Last updated
12/01/2010
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