Modo Optico LLC
NPI #1215689740 in Vega Alta, Puerto Rico
Provider Information
- NPI Number
- 1215689740
- Entity Type
- Organization
- Organization Name
- Modo Optico LLC
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jan 26, 2022
- Last Updated
- Jan 26, 2022
Practice Location
- Address
- PALMAS DE CERRO GORDO CALLE REAL
- Address 2
- G-34
- City
- Vega Alta
- State
- Puerto Rico
- ZIP Code
- 00692
- Phone
- (939) 405-4799
Authorized Official
- Name
- MONICA SANTIAGO
- Title
- PRESIDENT
- Phone
- (939) 405-4799
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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