Provider Demographics
NPI:1811598352
Name:OJO BAHIA INC
Entity Type:Organization
Organization Name:OJO BAHIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:CALCADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-223-0981
Mailing Address - Street 1:ATLANTIC VIEW COURT 2900 CARR 686
Mailing Address - Street 2:APT 606
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693
Mailing Address - Country:US
Mailing Address - Phone:787-231-9318
Mailing Address - Fax:
Practice Address - Street 1:501 AVE ANDALUCIA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-4173
Practice Address - Country:US
Practice Address - Phone:787-231-9318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier