Zaida Janette Artigas Luciano, OD
Individual provider Active NPI Optometrist · Hatillo, PR
NPI 1174590426 · NPPES record last updated Mar 8, 2024
Key facts
- NPI
- 1174590426
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 539 (PR)
- Practice address
- Carr 2 KM87.1 Hatillo Kash N Karry
Hatillo, PR 00659 - Phone
- (787) 820-2900
- Fax
- (787) 820-2900
- NPI assigned
- Mar 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060317000461 | PR | Practitioner - Optometry | 4385651280 | Practice locations: Hatillo, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 539 | PR | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 539 | PR | Yes |
Addresses
Primary practice location
Carr 2 KM87.1 Hatillo Kash N Karry
Hatillo, PR 00659
Mailing address
1058 Calle Tulipan
Hatillo, PR 00659-2406
Phone (787) 820-2900
Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.