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Contact Information

WAL-MART PUERTO RICO INC
PLAZA CENTRO II
AVE MUNOZ MARIN
CAGUAS, PR00725
 Phone: 787-746-1039
 Fax: 787-746-1664
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for WAL-MART PUERTO RICO INC

NPI # 1164724704
LBN Legal business name WAL-MART PUERTO RICO INC
Authorized official DIANNA PAINTER - (ENROLLMENT SPECIALIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/02/2010
Last updated 03/12/2025 - More than a year 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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