San Lorenzo Vision Center

NPI #1659647006 in San Lorenzo, Puerto Rico

Provider Information

NPI Number: 1659647006
Entity Type: Organization
Organization Name: San Lorenzo Vision Center
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 30, 2012
Last Updated: Mar 30, 2012

Practice Location

Address: CALLE TOUS SOTO 150 ESQ. VALERIANO MUNOZ
City: San Lorenzo
State: Puerto Rico
ZIP Code: 00754
Phone: (787) 736-2465

Authorized Official

Name: DR. ANNETTE AILEEN MONTALVO, O.D.
Title: OPTOMETRIST/OWNER
Phone: (787) 736-2465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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