Optica Coa LLC

NPI #1457818767 in Arecibo, Puerto Rico

Provider Information

NPI Number: 1457818767
Entity Type: Organization
Organization Name: Optica Coa LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 22, 2019
Last Updated: Feb 22, 2019

Practice Location

Address: 404 AVE DE DIEGO
City: Arecibo
State: Puerto Rico
ZIP Code: 00612
Phone: (787) 878-2758

Authorized Official

Name: LUIS MONTALVO, MD
Title: PRESIDENT
Phone: (787) 878-2758

Specialties & Taxonomy Codes

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

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