Walmart #2072

NPI #1073641171 in Guayama, Puerto Rico

Provider Information

NPI Number: 1073641171
Entity Type: Organization
Organization Name: Walmart #2072
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: AVE. LOS VETERANOS
Address 2: KM 134.7
City: Guayama
State: Puerto Rico
ZIP Code: 00784-0000
Phone: (787) 864-1060

Authorized Official

Name: MR. JORGE L HERNANDEZ
Title: DIR. OF SPECIALTY DIVISIONS
Phone: (787) 653-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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