Healthcare Provider Details

I. General information

NPI: 1700780103
Provider Name (Legal Business Name): EYES OPTIC CLINICA VISUAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CALLE ANTONIO R BARCELO
TOA ALTA PR
00953-2491
US

IV. Provider business mailing address

8 CALLE ANTONIO R BARCELO
TOA ALTA PR
00953-2491
US

V. Phone/Fax

Practice location:
  • Phone: 787-531-3432
  • Fax:
Mailing address:
  • Phone: 787-531-3432
  • Fax: 939-338-3360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. SONIA E VIRELLA
Title or Position: OWNER
Credential:
Phone: 787-531-3432