Organization
GOOD VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO MELENDEZ (OPTICIAN)
(787) 655-0400
Entity
Organization
Contact information
Practice address
15 CALLE GARRIDO MORALES W, FAJARDO, PR 00738-4632
(787) 655-0400
Mailing address
15 CALLE GARRIDO MORALES W, FAJARDO, PR 00738-4632
(787) 655-0400
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
PR
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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