Active NPI
Angel Luis Laureano-Vega, LICENCED OPTICIAN
- Optician
- Vega Alta, PR
National Provider Identifier
1104001700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 538
- Practice address
- Carr. 678 KM. 0.5
Pampanos
Vega Alta, PR 00692 - Phone
- (939) 579-1843
- Fax
- (787) 796-5183
- NPI assigned
- Jan 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 538 | PR | Primary |
Addresses
Primary practice location
Carr. 678 KM. 0.5
Pampanos
Vega Alta, PR 00692
Mailing address
PO Box 3040
Vega Alta, PR 00692-3040
Phone (939) 579-1843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199232000000",
"number": "1104001700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3040",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "006923040",
"telephone_number": "939-579-1843",
"fax_number": "787-796-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 678 KM. 0.5",
"address_2": "PAMPANOS",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "939-579-1843",
"fax_number": "787-796-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUREANO-VEGA",
"first_name": "ANGEL",
"middle_name": "LUIS",
"name_prefix": "Mr.",
"credential": "LICENCED OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-02",
"last_updated": "2008-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vega Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.