Organization
VISUAL OUTLET & OPTICAL STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS F. RIVERA O.D. (VICE PRESIDENT)
(787) 891-4400
Entity
Organization
Contact information
Practice address
153 AVE PEDRO ALBIZU CAMPOS AVE., AGUADILLA, PR 00603-5724
(787) 891-4400
(787) 882-1059
Mailing address
153 AVE PEDRO ALBIZU CAMPOS, AGUADILLA, PR 00603-5724
(787) 891-4400
(787) 882-1059
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
236
PR
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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