Healthcare Provider Details

I. General information

NPI: 1891424982
Provider Name (Legal Business Name): CATALA EYE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2022
Last Update Date: 07/14/2022
Certification Date: 07/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 31 MARGINAL ESQUINA CALLE FRANCISCO SEIN BO MONACILLOS ,PLAZA REALTY OF RIO PIEDRAS INC 10 Y 11
SANJUAN PR
00927
US

IV. Provider business mailing address

172 CANABONCITO HC07 BOX 33604
CAGUAS PR
00727
US

V. Phone/Fax

Practice location:
  • Phone: 787-286-8001
  • Fax:
Mailing address:
  • Phone: 787-286-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALBERT CATALA SANTIAGO
Title or Position: DUENO
Credential: OPTICO
Phone: 787-286-8001