Organization Active NPI

Optica de Diego

  • Optician
  • Mayaguez, PR
National Provider Identifier
1255141594
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
OPTICA DE DIEGO
Practice address
109 Calle de Diego E
Mayaguez, PR 00680-5499
Phone
(787) 834-3510
Fax
(787) 834-3510
NPI assigned
Jan 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Mr. Angel L Ruiz Rodriguez, OPTICIAN
Title
Propietario
Phone
(787) 834-3510

Specialties & licenses 1

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

Addresses

Primary practice location

109 Calle de Diego E
Mayaguez, PR 00680-5499

Mailing address

109 Calle de Diego E
Mayaguez, PR 00680-5499
Phone (787) 834-3510

Other names 1

  • OPTICA DE DIEGO Former legal business name

National Provider Directory

National Provider Directory

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": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1255141594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALLE DE DIEGO E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805499",
            "telephone_number": "787-834-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CALLE DE DIEGO E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805499",
            "telephone_number": "787-834-3510",
            "fax_number": "787-834-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICA DE DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANGEL L",
        "authorized_official_middle_name": "RUIZ",
        "authorized_official_title_or_position": "PROPIETARIO",
        "authorized_official_telephone_number": "787-834-3510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTICA DE DIEGO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.