Provider Demographics
NPI:1295431070
Name:GLOBAL VYTRONICS PSC
Entity type:Organization
Organization Name:GLOBAL VYTRONICS PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:GOMEZ FRIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-635-2840
Mailing Address - Street 1:502 CALLE RIAZA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923-2120
Mailing Address - Country:US
Mailing Address - Phone:787-963-0977
Mailing Address - Fax:787-963-0977
Practice Address - Street 1:502 CALLE RIAZA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-2120
Practice Address - Country:US
Practice Address - Phone:787-963-0977
Practice Address - Fax:787-963-0977
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLOBAL VYTRONICS PSC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty