National Provider Identifier Database

MODO OPTICO LLC
Optician


Contact Information

MODO OPTICO LLC
PALMAS DE CERRO GORDO CALLE REAL
G-34
VEGA ALTA, PR00692
Phone: 939-405-4799
Fax:
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for MODO OPTICO LLC

NPI Number 1215689740
Legal business name
LBN
MODO OPTICO LLC
Authorized official MONICA SANTIAGO - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/26/2022
Last updated 01/26/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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