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Optica Sur LLC

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

NPI number1962010876
StatusActive
Last updated in NPPESJul 16, 2020

Details

NPI
1962010876
Entity type
Organization (NPI-2)
Legal business name
Optica Sur LLC
Organization subpart
No
Enumeration date
Jul 16, 2020
Certification date
Jul 16, 2020
Last updated
Jul 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

Portofino Plaza #2
Salinas, PR 00751

Phone 787-944-9525

Mailing address

30 Urb Terra Del Valle
Cayey, PR 00736-3245

Phone 787-674-5070

Authorized official

Ricardo Gonzalez Lebron
Optometrist
7879449525

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