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NPI Code Detail

MEDICARE: SCR EMPRESAS VISUALES, PSC

MEDICARE: SCR EMPRESAS VISUALES, PSC
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
1332H00000XEyewear Supplier405PR

General Provider Information

NPI Number : 1891099107
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCR EMPRESAS VISUALES, PSC
Provider Business Mailing Address
First Line : N22 CALLE 15
Second Line : URB SANTA JUANA
City : CAGUAS
State : PR
Zip : 00725-2042
Country : US
Telephone Number : 787-703-0799
Fax Number : 787-905-7335
Provider Business Practice Location Address
First Line : LOS PRADOS MALL
Second Line : BLVD LOS PRADOS SUITE 780
City : CAGUAS
State : PR
Zip : 00727-9507
Country : US
Telephone Number : 787-703-0799
Fax Number : 787-905-7335
Authorized Official
Title or Position : PRESIDENT
Name : DR. SORIVETT COTTO-ROSARIO
Credential : OD
Telephone Number : 787-703-0799
Provider Enumeration Date : 12/29/2010
Last Update Date : 10/27/2015

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Directions to “SCR EMPRESAS VISUALES, PSC ” Practice Location

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