Organization
L'OTTICA,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERLA ROSA ALICEA OD (PRESIDENTA)
(787) 307-3546
Entity
Organization
Contact information
Practice address
AVE FRAGOSA ESQ. CALLE FIDALGO, LOCAL 15 PLAZA CAROLINA, CAROLINA, PR 00985
(787) 934-5060
Mailing address
100 CALLE FONT MARTELO W STE 320, HUMACAO, PR 00791-3970
(787) 307-3546
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386750743
—
PR
Enumeration date
05/17/2022
Last updated
12/19/2023
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