Organization
CONDADO OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NILSE M VILAR OD (VICE PRESIDENT)
(787) 268-6099
Entity
Organization
Contact information
Practice address
1452 AVE ASHFORD, COND ADA LIGIA 1A, SAN JUAN, PR 00907
(787) 636-8232
Mailing address
PO BOX 1995, GUAYNABO, PR 00970-1995
(787) 636-8232
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
537
PR
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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