| Doctor Name: | JOSE A GRILLOARROYO |
| NPI Number: | 1740497718 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | Bo Canaboncito Carr 172 Sect. Los Melendez Caguas, PR - 00725 |
| Business Phone Number: | 7874664777 |
| Business Fax Number: | 7877474462 |
| Mailing Address: | Po Box 1600 Suite 350, CIDRA |
| State: | PR |
| Postal Code: | 00739 |
| Phone Number: | 7874664777 |
| Fax Number: | 7877474462 |
| NPI Enumeration Date: | 05/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |