Provider Demographics
NPI:1346594678
Name:CENTRO DE VISION DARLINGTON
Entity Type:Organization
Organization Name:CENTRO DE VISION DARLINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIVIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOJO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-767-7973
Mailing Address - Street 1:1007 AVE MUNOZ RIVERA
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-2717
Mailing Address - Country:US
Mailing Address - Phone:787-767-7973
Mailing Address - Fax:787-767-7973
Practice Address - Street 1:1007 AVE MUNOZ RIVERA
Practice Address - Street 2:SUITE 8
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-2717
Practice Address - Country:US
Practice Address - Phone:787-767-7973
Practice Address - Fax:787-767-7973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center