Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician |
NPI | 1023029436 |
---|---|
Provider Name | Mr. Harry N Agront |
First Address | Saint Just, PR 00978-1173 |
Second Address | Trujillo Alto, PR 00976 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
051955 | LA CRUZ AZUL PUERTO RICO (01) | PR |
101096 | I VISION (01) | PR |
115694 | EYE MED (01) | PR |
215069 | PREFERRED HEALTH (01) | PR |
61821CL | TRIPLE S (01) | PR |
9780002 | HUMANA (01) | PR |
ES00289 | UIA (01) | PR |