Organization
PONCE VISION EXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN ROSA CABAN O.D (LICENSED OPTICIAN)
(787) 872-2977
Entity
Organization
Contact information
Practice address
AVENIDA JUAN HERNANDEZ, CENTRO COMERCIAL COOP#1, ISABELA, PR 00662
(787) 872-2977
(787) 830-3216
Mailing address
PO BOX 1429, ISABELA, PR 00662-1429
(787) 872-2977
(787) 830-3216
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
153
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051831
CRUZ AZUL
PR
01
—
054595
TRIPLES
PR
01
—
583308262
MAPFRE
PR
Enumeration date
10/04/2007
Last updated
10/04/2007
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