Walmart #1822
NPI #1154457679 in Fajardo, Puerto Rico
Provider Information
- NPI Number
- 1154457679
- Entity Type
- Organization
- Organization Name
- Walmart #1822
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- STATE ROAD #3 KM 43.3 INT. 194
- City
- Fajardo
- State
- Puerto Rico
- ZIP Code
- 00738-0000
- Phone
- (787) 860-1050
Authorized Official
- Name
- MR. JORGE L HERNANDEZ
- Title
- DIRECTOR OF SPECIALTY DIVISIONS
- Phone
- (787) 653-7777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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| Provider Name | |
|---|---|
| Ohi of Puerto Rico, LLC | |
| Wal-Mart Puerto Rico INC Part of Wal-Mart Stores INC | |
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