Provider Demographics
NPI:1639822406
Name:ZONA VISUAL LLC
Entity Type:Organization
Organization Name:ZONA VISUAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, OPTICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:LIBERTAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-585-5318
Mailing Address - Street 1:PO BOX 10008
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-9008
Mailing Address - Country:US
Mailing Address - Phone:787-374-3152
Mailing Address - Fax:
Practice Address - Street 1:SUR MED MEDICAL CENTER
Practice Address - Street 2:8 CALLE COLON PACHECO
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751-3344
Practice Address - Country:US
Practice Address - Phone:787-585-5318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies