Provider Demographics
NPI:1487999223
Name:CARIBE OPTI LAB (DBA OPTICS EYE CARE)
Entity type:Organization
Organization Name:CARIBE OPTI LAB (DBA OPTICS EYE CARE)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROSADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-781-4945
Mailing Address - Street 1:201 AVE DE DIEGO
Mailing Address - Street 2:PLAZA SAN FRANCISCO SUITE 40
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-5828
Mailing Address - Country:US
Mailing Address - Phone:787-782-6664
Mailing Address - Fax:
Practice Address - Street 1:201 AVE DE DIEGO
Practice Address - Street 2:PLAZA SAN FRANCISCO SUITE 40
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-5828
Practice Address - Country:US
Practice Address - Phone:787-782-6664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-05
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier