Provider Demographics
NPI:1467669895
Name:MULTIVISION-BARRIO OBRERO
Entity Type:Organization
Organization Name:MULTIVISION-BARRIO OBRERO
Other - Org Name:WALTER RAMIREZ PAGAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:STEVE
Authorized Official - Last Name:RAMIREZ-PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-753-2200
Mailing Address - Street 1:212 CALLE DIEZ DE ANDINO
Mailing Address - Street 2:BALDORIOTY PLAZA 1501
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00912-3445
Mailing Address - Country:US
Mailing Address - Phone:787-319-7523
Mailing Address - Fax:787-753-2200
Practice Address - Street 1:603 CALLE LODI
Practice Address - Street 2:LOCAL 3 VILLA CAPRI
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3842
Practice Address - Country:US
Practice Address - Phone:787-727-9381
Practice Address - Fax:787-753-2200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR156152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty