Healthcare Provider Details

I. General information

NPI: 1629987219
Provider Name (Legal Business Name): LENTES Y UN CAFE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 CALLE ANGEL G MARTINEZ
SABANA GRANDE PR
00637-1816
US

IV. Provider business mailing address

40 CALLE ANGEL G MARTINEZ
SABANA GRANDE PR
00637-1816
US

V. Phone/Fax

Practice location:
  • Phone: 787-543-1903
  • Fax:
Mailing address:
  • Phone: 787-543-1903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: LUIS J MERCADO LUGO
Title or Position: MEMBER/MANAGER
Credential:
Phone: 787-543-1903