Ohi of Puerto Rico, LLC

NPI #1114070414 in Fajardo, Puerto Rico

Provider Information

NPI Number: 1114070414
Entity Type: Organization
Organization Name: Ohi of Puerto Rico, LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: Jan 19, 2007
Last Updated: Mar 18, 2016

Practice Location

Address: PR 3 INT 940
Address 2: PLAZA FAJARDO EDIFICIO 1212 A
City: Fajardo
State: Puerto Rico
ZIP Code: 00738
Phone: (787) 863-3580

Authorized Official

Name: MR. ISAIAS CALDERON
Title: DIRECTOR; ASSIGNMENT OPERATIONS
Phone: (787) 925-1851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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