Deo Pr Retail 1 Llc is a Optometrist Center in San Juan, Puerto Rico. This organization is also known as sub part of Shalem Consumer Brands. It is situated at Avenida De Diego, 310 Plaza De Diego Local 102b, San Juan and its contact number is 787-776-8570. The authorized person of Deo Pr Retail 1 Llc is Mr. Gustavo Andres Gautren
who is Dir. Of. Operations of the clinic and their contact number is 782-429-6724.
Deo Pr Retail 1 Llc Center have optometrists who can examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Deo Pr Retail 1 Llc Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
| Specialization: | Optometry |
| Clinic Address: | Avenida De Diego, 310 Plaza De Diego Local 102b, San Juan, Puerto Rico, 00909 |
| Phone: | 787-776-8570 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Gustavo Andres Gautren |
| Position: | Dir. Of. Operations |
| Contact Number: | 782-429-6724 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Deo Pr Retail 1 Llc Center are as mentioned below.
| NPI Number: | 1881224673 |
| Parent Organization: | Shalem Consumer Brands |
| NPI Enumeration Date: | 21 Jan, 2020 |
| NPI Last Update On: | 10 Oct, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Deo Pr Retail 1 Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Eyewear Supplier (equipment, Not The Service) | | | Primary | |
| Optometrist | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1578111043 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Deo Pr Retail 1 Llc 162 Montague St Apt 2, Brooklyn, New York |
| Zip: | 11201-3506 |
| Phone Number: | 646-512-0313 |
Patients can reach Deo Pr Retail 1 Llc at
Avenida De Diego, 310 Plaza De Diego Local 102b, San Juan, Puerto Rico or can
call to book an appointment on 787-776-8570.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.