Organization · NPI-2

Clinica Visual Y Optica Dr. Roman Roman, INC

Optometrist · Arecibo, PR

NPI number1295471183

StatusActive

Last updated in NPPESOct 19, 2022

Details

NPI: 1295471183
Entity type: Organization (NPI-2)
Legal business name: Clinica Visual Y Optica Dr. Roman Roman, INC
Organization subpart: No
Enumeration date: May 12, 2022
Certification date: Oct 19, 2022
Last updated: Oct 19, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	–	–	Yes

Practice location

Carr 653 Km 2.0 Sect Barranca Bo. Hato Abajo
Arecibo, PR 00612-0061

Phone 787-896-7041

Mailing address

Po Box 6017
Carolina, PR 00984-6017

Phone 787-639-9834 · Fax 787-395-7926

Authorized official

Dymarie Burgos
Adminstrative Assistant
7873993755

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