Organization
BORINQUEN VISION CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL HERNANDEZ OP (LICENSED OPTICIAN/OWNER)
(787) 909-2549
Entity
Organization
Contact information
Practice address
410 AVE MONTE SOL STE 9, FAJARDO, PR 00738-5102
(787) 860-9525
Mailing address
URB. ORIENTE # 65, ST. LUIS PALES, MATOS, LAS PIEDRAS, PR 00771
(787) 909-2549
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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