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Contact Information

DEO PR RETAIL 2 LLC
270 PR-52
CAGUAS, PR00725
 Phone: 646-512-0313
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for DEO PR RETAIL 2 LLC

NPI Number 1134742067
LBN Legal business name DEO PR RETAIL 2 LLC
Authorized official GUSTAVO GAUTIER - (DIR. OF OPERATIONS)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/27/2020
Last updated 10/10/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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