OrganizationActive
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NPI 1396999835 · Exclusive Provider Organization · Moca, PR
Provider details
- NPI number
- 1396999835
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Yvette Rosa, Optometrist/Owner(787) 818-2085
- License
- 489 (PR)
Specialties & taxonomies
Managed Care Organizations
Practice location
511 Calle Concepcion Vera
Moca, PR 00676-5001
Phone: (787) 818-2085
Fax: (787) 818-2085
Mailing address
511 Calle Concepcion Vera
Moca, PR 00676-5001
Registry dates
- Enumerated
- 2008-11-11
- Last updated
- 2008-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.