Healthcare Provider Details

I. General information

NPI: 1992105332
Provider Name (Legal Business Name): ALL PEOPLE EYE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2014
Last Update Date: 09/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE GEORGETTI # 36 SUITE #1
COMERIO PR
00782
US

IV. Provider business mailing address

CALLE BABILONIA DG-15
BAYAMON PR
00956-5342
US

V. Phone/Fax

Practice location:
  • Phone: 787-875-1604
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number StatePR

VIII. Authorized Official

Name: LUIS JIMENEZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-238-1506