Organization
CITY OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISOL RODRIGUEZ OPTOMETRIST (OWNER)
(787) 766-9376
Entity
Organization
Contact information
Practice address
12 CALLE ROBLES, SAN JUAN, PR 00925-2919
(787) 766-9376
Mailing address
485 BAYAMON LA CUMBRE, SAN JUAN, PR 00926-2919
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
397
PR
Other
Enumeration date
06/07/2008
Last updated
03/30/2009
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