Organization Name: | CENTRO VISUAL BARCELONETA |
NPI Number: | 1285828145 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REINALDO PEREZ-CUEVAS (OPTOMETRIST/OWNER) |
Mailing Address: | 68 Urb Catalana Barceloneta |
State: | PR US |
Postal Code: | 006172715 |
Phone Number: | 7879701496 |
Fax Number: | 7879711496 |
NPI Enumeration Date: | 09/04/2007 |
NPI Last Update Date: | 09/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |