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General NPI Number Information
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NPI Number | 1750232310
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Entity Type | Organization
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Legal Business Name | MIRANDA VISUAL CLINIC & OPTICAL LLC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 291 AVE LOS CAOBOS
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City | PONCE
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State | PR
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Zip | 00715-2105
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Country | US
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Telephone | 787-396-0177
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Fax |
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Provider Business Mailing Address
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Address Line | C4 PASEO FLORESTA
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City | PONCE
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State | PR
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Zip | 00730-1818
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Country | US
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Telephone | 787-396-0177
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF OPTOMETRY
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Name | DR. SHARLENE MONIQUE MIRANDA RIVERA
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Credential | O.D.
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Telephone | 787-396-0177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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