Kem - Jireh Optical

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

586

Legal business name

KEM - JIREH OPTICAL

Practice address

Carr 195 KM 4.5 Bo Campo Rico
Canovanas, PR 00729

Phone

(787) 364-7761

Fax

(787) 655-4656

NPI assigned

Mar 13, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Emanuel Velazquez, LICENCIADO

Title

Licenciado

Phone

(787) 364-7731

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1073854212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE ORQUIDEA #60A BZN 671",
            "address_2": "BUENA VENTURA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878200",
            "telephone_number": "787-364-7761",
            "fax_number": "787-655-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 195 KM 4.5 BO CAMPO RICO",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-364-7761",
            "fax_number": "787-655-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEM - JIREH OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "LICENCIADO",
        "authorized_official_telephone_number": "787-364-7731",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENCIADO"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": "586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laboratorio Clinico Bio Tech III Corporacion
• Laboratorio Clinico Canovanas

• Technician/Technologist in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Technician/Technologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.