Provider Demographics
NPI:1881768141
Name:LAROPTIKAL
Entity type:Organization
Organization Name:LAROPTIKAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:SR
Authorized Official - Credentials:OD
Authorized Official - Phone:787-898-3398
Mailing Address - Street 1:PO BOX 126
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-0126
Mailing Address - Country:US
Mailing Address - Phone:787-898-3398
Mailing Address - Fax:787-898-3398
Practice Address - Street 1:CARRETERA 129 KM 15 1
Practice Address - Street 2:BO BAYANEY
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-898-3398
Practice Address - Fax:787-898-3398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR419152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty