Active NPI
Tu Optica En San German
- Eyewear Supplier
- San German, PR
National Provider Identifier
1316418890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- TU OPTICA EN SAN GERMAN
- Practice address
- Avenida Universidad Interamericana #183
Centro Comercial San German Local #106
San German, PR 00683 - Phone
- (787) 264-2222
- NPI assigned
- Dec 10, 2018
- 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
- Reinaldo M Vazquez, OD
- Title
- Administrator
- Phone
- (787) 264-2222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
Avenida Universidad Interamericana #183
Centro Comercial San German Local #106
San German, PR 00683
Mailing address
Avenida Universidad Interamericana #183
Centro Comercial San German Local #106
San German, PR 00683
Phone (787) 264-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 559 | Other | PR | PROVIDER LICENSE |
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 1679629422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544400000000",
"number": "1316418890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVENIDA UNIVERSIDAD INTERAMERICANA #183",
"address_2": "CENTRO COMERCIAL SAN GERMAN LOCAL #106",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-264-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA UNIVERSIDAD INTERAMERICANA #183",
"address_2": "CENTRO COMERCIAL SAN GERMAN LOCAL #106",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-264-2222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TU OPTICA EN SAN GERMAN",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-10",
"last_updated": "2018-12-10",
"status": "A",
"authorized_official_last_name": "VAZQUEZ",
"authorized_official_first_name": "REINALDO",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-264-2222",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER LICENSE",
"identifier": "559",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San German, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.