Organization
OPTOMETRY PHYSICIAN SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSIE NOEMI DE LA TEXERA OD (PRESIDENTA)
(787) 312-9815
Entity
Organization
Contact information
Practice address
400 CALLE BETANCES, CAGUAS, PR 00725-5200
(787) 746-0965
Mailing address
PO BOX 360949, SAN JUAN, PR 00936-0949
(787) 312-9815
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
512-024
PR
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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