| Organization Name: | LA OPTICA DE RUBEN RIVERA INC. |
| NPI Number: | 1942335021 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUBEN RIVERA MELENDEZ (PRESIDENTE) |
| Mailing Address: | 32 Calle Parque Ste 36 Edif. Tomas Quilan Bayamon |
| State: | PR US |
| Postal Code: | 009616110 |
| Phone Number: | 7877983735 |
| Fax Number: | 7877983735 |
| NPI Enumeration Date: | 02/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156F00000X |
| License Number: | 134 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A broad category grouping different kinds of technologists and technicians. See individual definitions. |