Utuado Vision Center CSP

Primary specialty

OptometristTaxonomy code 152W00000X

License

147 Issued in PR

Legal business name

UTUADO VISION CENTER CSP

Practice address

10 Ave Esteves
Utuado, PR 00641-3025

Phone

(787) 814-0707

Fax

(787) 814-0707

NPI assigned

Sep 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ivan M Saavedra, O.D.

Title

Optometry/Owner

Phone

(787) 640-8517

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1306197363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143926",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006143926",
            "telephone_number": "787-814-0707",
            "fax_number": "787-814-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AVE ESTEVES",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006413025",
            "telephone_number": "787-814-0707",
            "fax_number": "787-814-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTUADO VISION CENTER CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-30",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRY/OWNER",
        "authorized_official_telephone_number": "787-640-8517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utuado Health Hospital Corp
• Utuado Health Hospital Corp
• Utuado Health Hospital Corp
• Utuado Medical Equipment & Supply
• Utuado Sonography Center
• Roberto Valines
• Yamaris Vazquez Garcia, PSYD MSW
• Jose Antonio Vazquez Henao
• Adrian Manuel Vazquez Rivera
• Benigno Vazquez-Marrero, RPH

• All providers in Utuado, PR
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.