Clinica Visual de Guayama

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CLINICA VISUAL DE GUAYAMA

Practice address

Palmer Sur 42
Guayama, PR 00784

Phone

(787) 864-7938

NPI assigned

Mar 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edmundo Torres, O.D.

Title

Optometrist

Phone

(787) 864-7938

Specialties & licenses 1

Addresses

Other names 1

• CLINICA VISUAL DE GUAYAMA Former legal business name

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285768069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PALMER",
            "address_2": "SUR URB CARIOCA",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PALMER SUR 42",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA VISUAL DE GUAYAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "EDMUNDO",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "787-864-7938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA VISUAL DE GUAYAMA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Suheily Collazo Colon, MA
• Jacqueline M Collazo
• Melany Colomba, SOCIAL WORKER
• Edgar Nicolas Colon de-Jesus, MD

• Eyewear Supplier in Guayama, PR
• Providers in Guayama, PR by specialty
• Eyewear Supplier in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.