Organization
FAMILY VISION CENTER PONCE MALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEILEN M DE LA HOZ (ADMINISTRATOR)
(787) 643-9250
Entity
Organization
Contact information
Practice address
SUITE116, 4990 CALLE CANDIDO HOYOS, PONCE, PR 00730
(787) 844-0903
(787) 813-0804
Mailing address
GALERIAS PONCENAS MALL, CALLE UNION 83 SUITE 129, PONCE, PR 00730
(787) 844-6000
(787) 813-0843
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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