Islabella Vision Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

12791 Issued in PR

Legal business name

ISLABELLA VISION INC.

Practice address

3285 Ave Militar
Isabela, PR 00662-4091

Phone

(787) 830-5784

Fax

(787) 830-2436

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Walter Francisco Nieves, M.D.NPI 1225007453

Title

Administrator

Phone

(787) 830-5784

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Nieves, MD

  • Ophthalmology Physician
  • Isabela, PR
  • NPI 1225007453
  NPD (past) Authorized official

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1114231933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1967",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006621967",
            "telephone_number": "787-830-5784",
            "fax_number": "787-830-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 AVE MILITAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624091",
            "telephone_number": "787-830-5784",
            "fax_number": "787-830-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLABELLA VISION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-830-5784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "12791",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PR",
            "license": "12791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabela Dental Clinic
• Isabela Drug Inc
• Isabela Farma Express, P.S.C.
• Isabela Imaging Center, Inc.
• Isabela Podiatry PSC
• J&Adentalpsc
• Jaime Tavarez Perez
• Christopher William Jimenez Gonzalez, PHARMD
• Elizabeth J Juarbe Barreto, SLP
• Julia Margarita Juarbe, DDS

• Ophthalmology Physician in Isabela, PR
• Providers in Isabela, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.