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Organization

EYE CARE OF SAN JUAN P S C

Active
Parent organization
EYE CARE OF SAN JUAN P S C
Organization subpart
Yes

Provider details

NPI number
Legal business name
EYE CARE OF SAN JUAN P S C
Authorized official
LOLITA DELATORRE (ADMINISTRATOR)
(787) 289-6600
Entity
Organization

Contact information

Practice address
357 AVE DE LA CONSTITUCION, PUERTA DE TIERRA, SAN JUAN, PR 00901-2208
(787) 289-6600
(787) 289-6622
Mailing address
PO BOX 13953, SAN JUAN, PR 00908-3953
(787) 289-6600
(787) 289-6622

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9085
PR

Other

Enumeration date
09/22/2010
Last updated
11/03/2011
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