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Organization

RODMART OPTICAL INC

Active
Parent organization
RODMART OPTICAL, INC
Other names
CENTRO OFTALMICO
Organization subpart
Yes

Provider details

NPI number
Legal business name
RODMART OPTICAL, INC
Authorized official
MARIA J RODRIGUEZ OD (SECRETARY)
(787) 264-3848
Entity
Organization

Contact information

Practice address
162 AVE UNIV INTERAMERICANA, SAN GERMAN, PR 00683-4330
(787) 264-3848
(787) 264-3848
Mailing address
162 AVE UNIV INTERAMERICANA, SAN GERMAN, PR 00683-4330
(787) 264-3848
(787) 264-3848

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
261QH0100X
Health Service Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356565493
PR
Enumeration date
03/04/2022
Last updated
03/04/2022
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