Organization
FAMILY OPTICAL CENTER
Active
Organization
FAMILY OPTICAL CENTER
Active
Other names
FAMILY VISION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANTA IRENE ROMAN D.O. (OWNER)
(787) 892-3450
Entity
Organization
Contact information
Practice address
321 AVE CASTO PEREZ, PLAZA DEL OESTE SHOPPING CENTER, SAN GERMAN, PR 00683-4700
(787) 892-3450
(787) 892-3450
Mailing address
321 AVE CASTO PEREZ, PLAZA DEL OESTE SHOPPING CENTER, SAN GERMAN, PR 00683-4700
(787) 892-3450
(787) 892-3450
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
299
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052233
CRUZ AZUL
PR
01
—
215270
PREFERRED
PR
01
—
890153
MMM
PR
Enumeration date
11/02/2005
Last updated
08/22/2020
Update your record
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