| Organization Name: | VISION 2000 GUAYAMA, PSC |
| NPI Number: | 1619214459 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AURELIO SANTIAGO (PRESIDENT) |
| Mailing Address: | Commerce Plaza Suite 301 Guayama |
| State: | PR US |
| Postal Code: | 007851047 |
| Phone Number: | 7878642000 |
| Fax Number: | |
| NPI Enumeration Date: | 01/14/2013 |
| NPI Last Update Date: | 04/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |