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General NPI Number Information
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NPI Number | 1679452056
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Entity Type | Organization
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Legal Business Name | MEL OPTICAL INC.
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | KM 8.3 CALLE 3 AVE 65 INF HOSPITAL UPR DR FEDERICO TRILLA
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City | CAROLINA
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State | PR
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Zip | 00984
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Country | US
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Telephone | 787-757-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 402 CALLE AZALEA
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City | CAROLINA
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State | PR
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Zip | 00987-8728
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Country | US
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Telephone | 787-243-3187
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MYRNA GARCIA DIAZ
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Credential |
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Telephone | 787-512-0253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 156FX1202X
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Taxonomy Name | Optometric Technician
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License Number |
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License Number State |
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