Autentic Sunglasess & Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

795 Issued in PR

Legal business name

AUTENTIC SUNGLASESS & OPTICAL

Practice address

HC 20 Box 11066
Juncos, PR 00777-9637

Phone

(787) 743-0215

Fax

(787) 743-0215

NPI assigned

Sep 18, 2007

Last updated

Sep 18, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nayda I Delgado

Title

Administrator

Phone

(787) 743-0215

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1063608685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. RAFAEL COLDERO",
            "address_2": "PLAZA CENTRO MALL1 L-K-9",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007779657",
            "telephone_number": "787-743-0215",
            "fax_number": "787-743-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 20 BOX 11066",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007779637",
            "telephone_number": "787-743-0215",
            "fax_number": "787-743-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTENTIC SUNGLASESS & OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "NAYDA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-743-0215",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PR",
            "license": "795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abel L Aponte, NURSE PRACTITIONER
• Ar Dental Clinic LLC
• Beverly A Arroyo Marquez, MD
• Rafael J Arthur-Nouel, M.D.
• Atlantis Health Care Group Puerto Rico, Inc. (Renal Centre of Juncos)
• Arindoramis Lorein Ayala Carrasquillo
• Angely M Barreto Vicente
• Wilson Batista
• Edda Liz Bautista Perez, D.M.D
• Nannette Berrios, MD

• Eyewear Supplier in Juncos, PR
• Providers in Juncos, PR by specialty
• Eyewear Supplier in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.