Organization
PARAISO OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IDALIS NIEVES (PRESIDENTE)
(787) 635-0286
Entity
Organization
Contact information
Practice address
HOSPITAL EL MAESTRO PRIMER NIVEL, CALLE SERGIO CUEVAS BUSTAMENTE 550, HATO REY, PR 00918
(787) 635-0286
Mailing address
PO BOX 364708, SAN JUAN, PR 00936-4708
(787) 635-0286
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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