Organization
NEW VISION MEDICAL DIAGNOSTIC OPTIC
Active
Parent organization
NEW VISION MEDICAL DIAGNOSTIC INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW VISION MEDICAL DIAGNOSTIC INC
Authorized official
JOSE VARGAS RODRIGUEZ (PRESIDENT)
(787) 778-5353
Entity
Organization
Contact information
Practice address
BAYAMON MEDICAL MALL # J23, BAYAMON, PR 00959-7200
(787) 778-5353
(787) 778-5302
Mailing address
BAYAMON MEDICAL MALL # J23, BAYAMON, PR 00959-7200
(787) 778-5353
(787) 778-5302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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