Provider Demographics
NPI:1508186602
Name:EYE MEDICAL CENTER
Entity Type:Organization
Organization Name:EYE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPIETARIO
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:J
Authorized Official - Last Name:PABON DEL RIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-716-4666
Mailing Address - Street 1:PO BOX 46
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792
Mailing Address - Country:US
Mailing Address - Phone:787-716-4666
Mailing Address - Fax:787-716-4666
Practice Address - Street 1:CARR. 198 KM 19.4
Practice Address - Street 2:OLYMPIC SHOPPING COURT CENTER
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-716-4666
Practice Address - Fax:787-716-4666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty