Provider Demographics
NPI:1700932399
Name:SERVICIOS VISUALES DEL NORTE, INC.
Entity type:Organization
Organization Name:SERVICIOS VISUALES DEL NORTE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:PINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-258-1230
Mailing Address - Street 1:PO BOX 11381
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-1381
Mailing Address - Country:US
Mailing Address - Phone:787-258-1230
Mailing Address - Fax:787-258-1230
Practice Address - Street 1:CALLE MARGINAL A-4
Practice Address - Street 2:URB. SAN SALVADOR
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-5151
Practice Address - Fax:787-854-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Single Specialty