Organization Active NPI

Sebastian Optical

  • Eyewear Supplier
  • Cabo Rojo, PR
National Provider Identifier
1255951257
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SEBASTIAN OPTICAL
Practice address
Edificio Dr Colberg la 100 KM5.3
Cabo Rojo, PR 00623
Phone
(787) 371-0021
NPI assigned
Apr 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Mr. Raymond E Cruz Soto
Title
President
Phone
(787) 371-0021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

Edificio Dr Colberg la 100 KM5.3
Cabo Rojo, PR 00623

Mailing address

Car 105Intersecion 339KM0.8 Ba Limon
Mayaguez, PR 00680-9111

Other names 1

  • SEBASTION OPTICAL COORPORATION Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1255951257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAR 105INTERSECION 339KM0.8 BA LIMON",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006809111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO DR COLBERG LA 100 KM5.3",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-371-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTIAN OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "CRUZ  SOTO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-371-0021",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEBASTION OPTICAL COORPORATION",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cabo Rojo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.