| Organization Name: | VISTA-CLINICA VISUAL |
| NPI Number: | 1366747198 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NIVIANA A. YAMBO (OWNER) |
| Mailing Address: | Plaza San Cristobal Office Park # 2003 Suite 102 Coto Laurel |
| State: | PR US |
| Postal Code: | 00780 |
| Phone Number: | 7878400303 |
| Fax Number: | |
| NPI Enumeration Date: | 01/26/2011 |
| NPI Last Update Date: | 01/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WV0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Vision Therapy |
| Taxonomy Definition: | Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |