Organization
AFACRED MED PR CRL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBEL GOMEZ-LOPEZ MBA/HCM (PRESIDENT)
(939) 249-3417
Entity
Organization
Contact information
Practice address
CARR PR 21 BLOQUE S 3 11, URB LAS LOMAS, SAN JUAN, PR 00921
(939) 249-3417
Mailing address
PO BOX 2602, GUAYNABO, PR 00970-2602
(787) 633-6919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
06/10/2013
Last updated
06/12/2013
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