Healthcare Provider Details

I. General information

NPI: 1750047692
Provider Name (Legal Business Name): EYE PLUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2021
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 CALLE DE LA CANDELARIA BO MAYAGUEZ
MAYAGUEZ PR
00680-4962
US

IV. Provider business mailing address

2705 CARR 348
MAYAGUEZ PR
00680-2124
US

V. Phone/Fax

Practice location:
  • Phone: 787-598-8918
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: HERNAN A TORRES RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 787-598-8918