| Galeria Veinte Veinte LLC | |
|
Marginal Carr. 100, Km 5.8 Cabo Rojo PR 00623 | |
| (787) 235-2240 | |
| Not Available |
| Full Name | Galeria Veinte Veinte LLC |
|---|---|
| Speciality | Optometrist |
| Location | Marginal Carr. 100, Km 5.8, Cabo Rojo, Puerto Rico |
| Authorized Official Name and Position | Danica Ortiz (PRESIDENT/OPTOMETRIST) |
| Authorized Official Contact | 7872352240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Galeria Veinte Veinte LLC Po Box 1192 Hormigueros PR 00660-1192 Ph: (787) 235-2240 | Galeria Veinte Veinte LLC Marginal Carr. 100, Km 5.8 Cabo Rojo PR 00623 Ph: (787) 235-2240 |
| NPI Number | 1942895529 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/04/2021 |
| Certification Date | 02/14/2021 |
| Medicare PECOS PAC ID | 3678065075 |
|---|---|
| Medicare Enrollment ID | O20251124000943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942895529 | NPI | - | NPPES |
| 038245900 | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 152W00000X | Optometrist | () | Primary |
| Provider Name | Danica Ortiz Ortiz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184106965 PECOS PAC ID: 1153653068 Enrollment ID: I20191025002207 |
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