Organization Name: | RETINA ASSOCIATES CSP |
NPI Number: | 1669609210 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WANDSY M VELEZ (PRESIDENT) |
Mailing Address: | 101 Ave San Patricio Ste 990 Maramar Plaza Guaynabo |
State: | PR US |
Postal Code: | 009682646 |
Phone Number: | 7876257766 |
Fax Number: | 7876257768 |
NPI Enumeration Date: | 06/22/2009 |
NPI Last Update Date: | 03/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 12518 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |