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Soalis, LLC

Optometrist in Caguas, PR. Organization (NPI-2).

NPI number1407575475
StatusActive
Last updated in NPPESAug 24, 2022

Details

NPI
1407575475
Entity type
Organization (NPI-2)
Legal business name
Soalis, LLC
Organization subpart
No
Enumeration date
Aug 24, 2022
Certification date
Aug 18, 2022
Last updated
Aug 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes
332H00000X Eyewear Supplier (Equipment, not the service)––

Practice location

Hospital Menonita Caguas
Carr. 172 Urb Turabo Gardens
Caguas, PR 00725

Phone 787-286-0941

Mailing address

1520 Ave Ashford Apt 5
San Juan, PR 00911-1115

Authorized official

Edric Vivoni
Member
7872860941

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