MEDICARE: FAMILY OPTICAL CENTER INC.

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	299	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101266	OTHER	PR	I VISION
2	215270	OTHER	PR	PREFERRED HEALT PLAN
3	56672	OTHER	PR	TRIPLE-S
4	00133	OTHER	PR	VISION HEMISFERICA
5	052233	OTHER	PR	CRUZ AZUL
6	890153	OTHER	PR	MMM

General Provider Information

NPI Number	:	1841231180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY OPTICAL CENTER INC.

Provider Business Mailing Address
First Line	:	PLAZA DEL OESTE SHOPPING CENTER
Second Line	:	AVE. CASTO PEREZ # 321
City	:	SAN GERMAN
State	:	PR
Zip	:	00683
Country	:	US
Telephone Number	:	787-892-3450
Fax Number	:	787-892-3430

Provider Business Practice Location Address
First Line	:	321 AVE CASTO PEREZ
Second Line	:
City	:	SAN GERMAN
State	:	PR
Zip	:	00683-4700
Country	:	US
Telephone Number	:	787-892-3450
Fax Number	:	787-892-3430

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. SANTA ROMAN ROBLES
Credential	:	DO
Telephone Number	:	787-892-3450

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	01/07/2025

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Directions to “FAMILY OPTICAL CENTER INC. ” Practice Location

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