Organization
CORDOBESA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA D CAMACHO PEINADO (PRESIDENT)
(787) 369-2400
Entity
Organization
Contact information
Practice address
2092 CARR 633 BO BARAHONA, MOROVIS, PR 00687
(787) 369-2400
Mailing address
PO BOX 190399, SAN JUAN, PR 00919-0399
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
05/17/2023
Last updated
05/23/2024
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