Mayaguez Optical Lab

NPI #1881683019 in Mayaguez, Puerto Rico

Provider Information

NPI Number: 1881683019
Entity Type: Organization
Organization Name: Mayaguez Optical Lab
Primary Specialty: Optometrist
Enumeration Date: Oct 20, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: CALLE PERAL #14
Address 2: EDIFICIO LA PALMA OFICINA 1A
City: Mayaguez
State: Puerto Rico
ZIP Code: 00680-4913
Phone: (787) 834-2492

Authorized Official

Name: KENNETH L VAZQUEZ SR.
Title: PRESIDENTE
Phone: (787) 834-2492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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