Organization
WESTERN VISUAL CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON EDGARDO JUAN OD (DOCTOR)
(787) 342-5161
Entity
Organization
Contact information
Practice address
CARR 402 KM 4.6 BO PINALES, ANASCO, PR 00610
(787) 203-7611
(787) 229-1040
Mailing address
PO BOX 2540, SAN GERMAN, PR 00683-2540
(787) 203-7611
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
682-251
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038327000
—
PR
05
—
038327001
—
PR
05
—
038327002
—
PR
05
—
038637100
—
PR
05
—
038637101
—
PR
05
—
038637102
—
PR
Enumeration date
05/03/2012
Last updated
11/27/2023
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