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Contact Information

CONSULTORIO OPTOMETRICO DE SG, CSP
AVE. ANGEL C PEREZ #2
SAN GERMAN, PR00683
 Phone: 787-892-1218
 Fax: 787-892-7480
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CONSULTORIO OPTOMETRICO DE SG, CSP

NPI Number 1952312324
LBN Legal business name CONSULTORIO OPTOMETRICO DE SG, CSP
Authorized official LUIS MORA - (OPTOMETRIST/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
PR License # 403-0029
PR Other 077-137 CRUZ AZUL
PR Other 6830042 HUMANA
PR Other 5211 IMC
PR Other 890343 MMM
PR Other 215264 PREFFERRED HEALTH
PR Other 50002 SSS
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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