Provider Demographics
NPI:1518442045
Name:PAULING FIRM INC
Entity type:Organization
Organization Name:PAULING FIRM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRY / PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:FIDEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:RODRIGUEZ CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-425-7717
Mailing Address - Street 1:3000 CALLE CORAL, COND LAGO PLAYA
Mailing Address - Street 2:APTO 3012, LEVITTOWN
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-256-6060
Mailing Address - Fax:
Practice Address - Street 1:CARR 3 KM 19.9
Practice Address - Street 2:EDIF EAST MEDICAL PROFESSIONAL CENTER
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-256-6060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-01
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty