Active NPI
Roberto Fernando Simoni
- Optometric Assistant Technician
- Camuy, PR
National Provider Identifier
1174898951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometric Assistant Technician
- Practice address
- 160 Ave Munoz Rivera Local #4
Camuy, PR 00627 - Phone
- (787) 390-5055
- NPI assigned
- Mar 13, 2012
- 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 |
|---|---|---|---|---|
| Optometric Assistant Technician | 156FX1201X | Primary |
Addresses
Primary practice location
160 Ave Munoz Rivera Local #4
Camuy, PR 00627
Mailing address
425 Road 693, PMB 218
Dorado, PR 00646
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": "1331596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1174898951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ROAD 693, PMB 218",
"city": "DORADO",
"state": "PR",
"postal_code": "00646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 AVE MUNOZ RIVERA LOCAL #4",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "787-390-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONI",
"first_name": "ROBERTO",
"middle_name": "FERNANDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-13",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1201X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optometric Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camuy, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.