Organization
RUAH OPTICAL GALLERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAYRA IVETTE ORTIZ (OWNER)
(787) 365-0166
Entity
Organization
Contact information
Practice address
CENTRO MULTISERVICIO 115 ST KM 246, AGUADA, PR 00602
(787) 365-0166
Mailing address
115 ST KM 246 BO ASOMANTE, AGUADA, PR 00602
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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