Provider Demographics
NPI:1477813988
Name:RNC VISION CARE SERVICES
Entity Type:Organization
Organization Name:RNC VISION CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:N
Authorized Official - Last Name:NIEVES COLON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-460-5937
Mailing Address - Street 1:RR 12 BOX 1091E
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9427
Mailing Address - Country:US
Mailing Address - Phone:787-460-5937
Mailing Address - Fax:787-786-3548
Practice Address - Street 1:RR 12 BOX 1091E
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-9427
Practice Address - Country:US
Practice Address - Phone:787-460-5937
Practice Address - Fax:787-786-3548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-18
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR589152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty