Organization
IMAGEN OPTICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN CASTRO (PRESIDENT)
(787) 741-4969
Entity
Organization
Contact information
Practice address
112 CALLE LUIS MUNOZ RIVERA, VIEQUES, PR 00765-3042
(787) 741-4969
Mailing address
PO BOX 15, VIEQUES, PR 00765-0015
(787) 741-4969
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
267
PR
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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