Organization
GALERIA VEINTE VEINTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANICA ORTIZ O.D. (PRESIDENT/OPTOMETRIST)
(787) 235-2240
Entity
Organization
Contact information
Practice address
MARGINAL CARR. 100, KM 5.8, CABO ROJO, PR 00623
(787) 235-2240
Mailing address
PO BOX 1192, HORMIGUEROS, PR 00660-1192
(787) 235-2240
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038245900
—
PR
Enumeration date
03/04/2021
Last updated
03/04/2021
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