Organization Active NPI

Puerto Rico Optical Company

  • Optician
  • Guaynabo, PR
National Provider Identifier
1124031372
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
757 Issued in PR
Legal business name
PUERTO RICO OPTICAL COMPANY
Practice address
1498 FD. Roosevelt Suite 16
Plaza Caparra
Guaynabo, PR 00968-2735
Phone
(787) 783-1085
Fax
(787) 781-2794
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Authorized official

Name
Mrs. Nilsa M Mulero, OPTICIAN
Title
President
Phone
(787) 783-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 757 PR Primary

Addresses

Primary practice location

1498 FD. Roosevelt Suite 16
Plaza Caparra
Guaynabo, PR 00968-2735

Mailing address

1498 FD. Roosevelt Suite 16
Plaza Caparra
Guaynabo, PR 00968-2735
Phone (787) 783-1085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140113001545 PR Part B Supplier - Clinic/Group Practice 3779711072 Receives reassigned benefits from 1 practitioner
Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

Locations

1498 Ave Fd Roosevelt
Ste 16
Guaynabo, PR 00968
Phone (787) 783-1085

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788048000000",
    "number": "1124031372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 FD. ROOSEVELT SUITE 16",
            "address_2": "PLAZA CAPARRA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682735",
            "telephone_number": "787-783-1085",
            "fax_number": "787-781-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 FD. ROOSEVELT SUITE 16",
            "address_2": "PLAZA CAPARRA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682735",
            "telephone_number": "787-783-1085",
            "fax_number": "787-781-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A",
        "authorized_official_last_name": "MULERO",
        "authorized_official_first_name": "NILSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-783-1085",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.