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Organization

JORGE W. MENDEZ ORTIZ

Active
Other names
Pro Vision
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILSON MENDEZ OPTICIAN (MANAGER)
(787) 854-9300
Entity
Organization

Contact information

Practice address
CARR #2 KM 47.0 SECTOR CAMPO ALEGRE, MANATI, PR 00674-5414
(787) 854-6639
(787) 884-5240
Mailing address
PO BOX 851, MANATI, PR 00674-0851
(787) 854-6639
(787) 884-5240

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
05/22/2007
Last updated
03/05/2013
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