Organization
CENTRO OFTALMOLOGICO DE ARECIBO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS M MONTALVO M.D. (PRESIDENT)
(787) 878-2758
Entity
Organization
Contact information
Practice address
404 AVE DE DIEGO, ARECIBO, PR 00614
(787) 878-2758
(787) 817-3531
Mailing address
PO BOX 140819, ARECIBO, PR 00614-0819
(787) 878-2758
(787) 817-3531
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
35
PR
Other
Enumeration date
03/30/2007
Last updated
02/17/2014
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