Provider Demographics
NPI:1831435775
Name:OPHTHALMIC CARE PSC
Entity type:Organization
Organization Name:OPHTHALMIC CARE PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:GARCIA LLORENS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-815-4000
Mailing Address - Street 1:PO BOX 142467
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-2467
Mailing Address - Country:US
Mailing Address - Phone:787-815-4000
Mailing Address - Fax:787-817-4412
Practice Address - Street 1:MEDICAL PROFESSIONAL OFFICE PLAZA CARR 493 KM 0.5
Practice Address - Street 2:SUITE 114
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-815-4000
Practice Address - Fax:787-817-4412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12133207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty