Fidel J Rodriguez Cruz

NPI #1164600847 in Canovanas, Puerto Rico

Provider Information

NPI Number: 1164600847
Entity Type: Organization
Organization Name: Fidel J Rodriguez Cruz
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 5, 2008
Last Updated: Apr 14, 2014

Practice Location

Address: CARRETERA # 3 KM 19.9
Address 2: EDIFICIO EAST MEDICAL PROFESSIONAL CENTER
City: Canovanas
State: Puerto Rico
ZIP Code: 00729
Phone: (787) 256-6060

Authorized Official

Name: MR. FIDEL JOEL RODRIGUEZ
Title: OPTICIAN
Phone: (787) 256-6060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Technician/Technologist - Optician — Optician	156FX1800X
General Practice	208D00000X
Eyewear Supplier	332H00000X	Primary

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