Provider Demographics
NPI:1639806847
Name:MAPO VISION GROUP
Entity Type:Organization
Organization Name:MAPO VISION GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DE PAZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:939-644-1398
Mailing Address - Street 1:AB20 CALLE TORREON
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4703
Mailing Address - Country:US
Mailing Address - Phone:939-644-1398
Mailing Address - Fax:787-769-3308
Practice Address - Street 1:GP3 AVE ROBERTO SANCHEZ VILELLA
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982-2677
Practice Address - Country:US
Practice Address - Phone:787-768-2335
Practice Address - Fax:787-769-3308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-07
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier