NPI 1063608685

Autentic Sunglasess & Optical

Organisation Eyewear Supplier Juncos, PR

Practice location

Address: Hc 20 Box 11066, Juncos, PR 00777-9637
Phone: (787) 743-0215
Fax: (787) 743-0215
Mailing address: Ave. Rafael Coldero Plaza Centro Mall1 L-K-9, Caguas, PR 00777-9657

Authorised official

Name: Nayda I Delgado
Title: Administrator
Phone: (787) 743-0215

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 795 (PR)

Other Eyewear Supplier providers in Puerto Rico →

Registry record

NPI: 1063608685
Entity type: Organization
NPI issued: 18 Sep 2007
Record last updated: 18 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.