Walmart #2067
NPI #1003942467 in Mayaguez, Puerto Rico
Provider Information
- NPI Number
- 1003942467
- Entity Type
- Organization
- Organization Name
- Walmart #2067
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- MAYAGUEZ MALL
- Address 2
- STATE RD # 2
- City
- Mayaguez
- State
- Puerto Rico
- ZIP Code
- 00680
- Phone
- (787) 834-2280
Authorized Official
- Name
- MR. JORGE L HERNANDEZ
- Title
- DIRECTOR OF SPECIALTY DIVISION
- Phone
- (787) 653-7777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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