Le Vista Corp.

Primary specialty

OptometristTaxonomy code 152W00000X

License

433 Issued in PR

Legal business name

LE VISTA CORP.

Practice address

Carr 484 KM 0.1
Bo. Cocos
Quebradillas, PR 00678

Phone

(787) 291-7191

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Amarilys Sandoval, OD

Title

President

Phone

(787) 509-7349

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1194103291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HACIENDA TERRA LINDA",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279760",
            "telephone_number": "787-291-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 484 KM 0.1",
            "address_2": "BO. COCOS",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-291-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE VISTA CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "AMARILYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-509-7349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.