Provider Demographics
NPI:1356619746
Name:PR VISION INC
Entity type:Organization
Organization Name:PR VISION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-752-5338
Mailing Address - Street 1:65/ DOMINGO CACERES E.
Mailing Address - Street 2:CAROLINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-752-5338
Mailing Address - Fax:787-752-5338
Practice Address - Street 1:65/ DOMINGO CACERES E.
Practice Address - Street 2:CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-752-5338
Practice Address - Fax:787-752-5338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2017-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR572156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty