Organization
OPTOMETRY WORLD PONCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE L BONILLA DAVILA (OPTOMETRIST)
(787) 848-2885
Entity
Organization
Contact information
Practice address
2053 PONCE BY PASS, STE 104, PONCE, PR 00717-1307
(787) 848-2885
Mailing address
2053 PONCE BY PASS, SUITE 104, PONCE, PR 00717
(787) 848-2885
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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