Deo Pr Retail 2 LLC

NPI #1134742067 in Caguas, Puerto Rico

Provider Information

NPI Number: 1134742067
Entity Type: Organization
Organization Name: Deo Pr Retail 2 LLC
Subpart: Yes (part of a larger organization)
Parent Organization: DEO PR RETAIL 1 LLC
Primary Specialty: Optometrist
Enumeration Date: May 27, 2020
Last Updated: Oct 10, 2023

Practice Location

Address: 270 PR-52
City: Caguas
State: Puerto Rico
ZIP Code: 00725
Phone: (646) 512-0313

Authorized Official

Name: MR. GUSTAVO ANDRES GAUTIER
Title: DIR. OF OPERATIONS
Phone: (787) 429-6724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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