Healthcare Provider Details

I. General information

NPI: 1609711209
Provider Name (Legal Business Name): PRESERVE VISION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 CALLE WILLIE ROSARIO STE 2
COAMO PR
00769-3252
US

IV. Provider business mailing address

HC 3 BOX 10996
JUANA DIAZ PR
00795-9852
US

V. Phone/Fax

Practice location:
  • Phone: 787-477-7457
  • Fax:
Mailing address:
  • Phone: 787-477-7457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBINSON NAYIB CRUZ
Title or Position: OWNER
Credential: OD
Phone: 787-477-7457