Aguas Buenas Optical Outlet

NPI #1902502685 in Aguas Buenas, Puerto Rico

Provider Information

NPI Number: 1902502685
Entity Type: Organization
Organization Name: Aguas Buenas Optical Outlet
Subpart: Yes (part of a larger organization)
Parent Organization: CAYEY OPTICAL OUTLET
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 3, 2023
Last Updated: Feb 3, 2023

Practice Location

Address: CARRETERA 174 KM 1.3
City: Aguas Buenas
State: Puerto Rico
ZIP Code: 00703
Phone: (787) 446-2289

Authorized Official

Name: DIANABEL ROLON RIVERA
Title: PRESIDENTE
Phone: (787) 738-8855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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