Provider Demographics
NPI:1730405937
Name:G.A. NEW MAGICAL FRAME INC
Entity type:Organization
Organization Name:G.A. NEW MAGICAL FRAME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-692-1332
Mailing Address - Street 1:KM 1.2 INT C-8
Mailing Address - Street 2:URB BRISA TROPICAL CARR. 485
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-0000
Mailing Address - Country:US
Mailing Address - Phone:787-692-1332
Mailing Address - Fax:
Practice Address - Street 1:JOSE P. H. HERNANDEZ
Practice Address - Street 2:# 63
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-0000
Practice Address - Country:US
Practice Address - Phone:787-692-1332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier