Organization
MIRAVISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAHIR E. SOTO OD (PRESIDENT/OWNER)
(787) 406-3562
Entity
Organization
Contact information
Practice address
16 CALLE RAFAEL OCASIO, SALINAS, PR 00751-3240
(787) 824-1934
Mailing address
109 CALLE REGENCIA, COAMO, PR 00769-9814
(787) 824-1934
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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