Centro Optometrico Especializado De Pr LLC

NPI #1851895874 in Bayamon, Puerto Rico

Provider Information

NPI Number: 1851895874
Entity Type: Organization
Organization Name: Centro Optometrico Especializado De Pr LLC
Primary Specialty: Optometrist
Enumeration Date: Mar 23, 2018
Last Updated: Mar 23, 2018

Practice Location

Address: ESTANCIAS DE RIO HONDO III
Address 2: CC36 CALLE CEIBAS
City: Bayamon
State: Puerto Rico
ZIP Code: 00961-3419
Phone: (787) 798-3333

Authorized Official

Name: MRS. WILDA IVETTE SANTIAGO, O.D, F. I. A. O
Title: OPTOMETRIST
Phone: (787) 200-5527

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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