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Organization

VISTA OPTICA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL RODRIGUEZ OD (OPMETRY DOCTOR)
(939) 303-3046
Entity
Organization

Contact information

Practice address
AVE PADRE RIVERA #15, HUMACAO, PR 00791
(939) 303-3046
(939) 303-3076
Mailing address
SUNRISE 29, SUNSET ST, HUMACAO, PR 00791
(787) 922-5847

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
11/30/2021
Last updated
11/30/2021
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