Provider Demographics
NPI:1336595032
Name:CIALES VISUAL INC.
Entity Type:Organization
Organization Name:CIALES VISUAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:E
Authorized Official - Last Name:WHATTS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:787-871-3091
Mailing Address - Street 1:51 CALLE JOSE DE DIEGO
Mailing Address - Street 2:
Mailing Address - City:CIALES
Mailing Address - State:PR
Mailing Address - Zip Code:00638-3228
Mailing Address - Country:US
Mailing Address - Phone:787-871-3091
Mailing Address - Fax:787-871-3091
Practice Address - Street 1:51 CALLE JOSE DE DIEGO
Practice Address - Street 2:
Practice Address - City:CIALES
Practice Address - State:PR
Practice Address - Zip Code:00638-3228
Practice Address - Country:US
Practice Address - Phone:787-871-3091
Practice Address - Fax:787-871-3091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-11
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR565152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty