Healthcare Provider Details

I. General information

NPI: 1932641297
Provider Name (Legal Business Name): VISION SOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2016
Last Update Date: 11/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FT BUCHANAN EXCHANGE BUILDING 689, FT BUCANANAN
GUAYNABO PR
00934
US

IV. Provider business mailing address

J6 CALLE ARGENTINA OASIS GARDENS
GUAYNABO PR
00969-3418
US

V. Phone/Fax

Practice location:
  • Phone: 787-781-6721
  • Fax:
Mailing address:
  • Phone: 787-720-8494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0140-0236
License Number StatePR

VIII. Authorized Official

Name: DR. DAVID SANTIAGO
Title or Position: OWNER
Credential: OD
Phone: 407-719-7770