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
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