Healthcare Provider Details

I. General information

NPI: 1639822406
Provider Name (Legal Business Name): ZONA VISUAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2022
Last Update Date: 02/01/2022
Certification Date: 02/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SUR MED MEDICAL CENTER 8 CALLE COLON PACHECO
SALINAS PR
00751-3344
US

IV. Provider business mailing address

PO BOX 10008
CIDRA PR
00739-9008
US

V. Phone/Fax

Practice location:
  • Phone: 787-585-5318
  • Fax:
Mailing address:
  • Phone: 787-374-3152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. LIBERTAD FLORES
Title or Position: OWNER, OPTICIAN
Credential:
Phone: 787-585-5318