| Vista Care Psc | |
|
P60 Ave Santa Juanita Bayamon PR 00956-4954 | |
| (787) 995-2450 | |
| (787) 787-2424 |
| Full Name | Vista Care Psc |
|---|---|
| Speciality | Clinic/center |
| Location | P60 Ave Santa Juanita, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Lisania Core (OPTOMETRIST) |
| Authorized Official Contact | 7879952450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Care Psc P60 Ave Santa Juanita Bayamon PR 00956-4954 Ph: (787) 995-2450 | Vista Care Psc P60 Ave Santa Juanita Bayamon PR 00956-4954 Ph: (787) 995-2450 |
| NPI Number | 1215027859 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215027859 | NPI | - | NPPES |
| 4871890001 | Other | PR | PALMETTO |
| 601012 | Other | PR | MMM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 542 (Puerto Rico) | Primary |
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