Provider Demographics
NPI:1639310014
Name:CARIBBEAN OPTOMETRICS, INC.
Entity Type:Organization
Organization Name:CARIBBEAN OPTOMETRICS, INC.
Other - Org Name:THE EYE DOCTOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-283-6567
Mailing Address - Street 1:PMB 114-220 WESTERN
Mailing Address - Street 2:AUTO PLAZA SUITE 101
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-283-6567
Mailing Address - Fax:
Practice Address - Street 1:AVE. AA D-16 LOCAL B
Practice Address - Street 2:CIUDAD UNIVERSITARIA
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-283-6567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR431261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service