MEDICARE: EYE ZONE C.S.P

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	156FX1800X	Optician

General Provider Information

NPI Number	:	1063784072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE ZONE C.S.P

Provider Business Mailing Address
First Line	:	PO BOX 5140
Second Line	:
City	:	SAN SEBASTIAN
State	:	PR
Zip	:	00685-5140
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	SAN SEBASTIAN SHPG CTR
Second Line	:	4100 AVE ARCADIO ESTRADA SUITE 283
City	:	SAN SEBASTIAN
State	:	PR
Zip	:	00685-3216
Country	:	US
Telephone Number	:	787-896-7021
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KARLA J VELEZ QUINTANA
Credential	:
Telephone Number	:	787-896-7021

Provider Enumeration Date	:	02/07/2012
Last Update Date	:	03/24/2024

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Directions to “EYE ZONE C.S.P ” Practice Location

Language	Start Address	Practice Location

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