Organization · Type 2 NPI

Deo PR Retail 1 LLC

Eyewear Supplier · San Juan, PR

NPI number 1881224673 Active

Practice location

Avenida De Diego, 310 Plaza De Diego Local 102B
San Juan, PR 00909

Call (787) 776-8570 Map

Mailing address

162 Montague St Apt 2
Brooklyn, NY 11201-3506

Other practice locations

270 PR-52, Caguas, PR 00725 · (646) 512-0313

Specialties and licenses

Taxonomy	Code	License
Optometrist	152W00000X	None listed
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Other eyewear supplier providers in San Juan

See all in San Juan →

NPI record

NPI: 1881224673
Entity type: Organization (Type 2)
Issued: Jan 21, 2020
Last updated: Oct 10, 2023
Status: Active
Subpart: Yes of Shalem Consumer Brands

Other names

<unavail>
Deo · doing business as
Deo · doing business as

Authorized official

Mr. Gustavo Andres Gautren
Dir. of. Operations
(782) 429-6724

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1881224673

Deo PR Retail 1 LLC's National Provider Identifier is 1881224673, issued on Jan 21, 2020. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in San Juan, PR. The record was last updated on Oct 10, 2023.