Organization
A & M CORP.
Active
Other names
EYE CENTER BOUTIQUE-HUMACAO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL MARIN MARIN 331 (OPTICO LIC.)
(787) 850-5222
Entity
Organization
Contact information
Practice address
350 STATE RD 3, PLAZA PALMA REAL SHOPPING CENTER STE 170, HUMACAO, PR 00986-0895
(787) 769-6500
Mailing address
PO BOX 895, CAROLINA, PR 00986-0895
(787) 769-6500
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
331
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331
OPTICO LIC.
PR
01
—
584117005
OPTICO LIC.
PR
Enumeration date
03/03/2016
Last updated
03/03/2016
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