Active NPI
Optica de Diego
- Optician
- Mayaguez, PR
National Provider Identifier
1255141594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- San German, PR
- NPI 1083760821
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.