Active NPI
Angel Marin
- Optometrist
- Humacao, PR
National Provider Identifier
1346614047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 66-0835299
- Practice address
- Centro Comercial Plaza Palma Real
Humacao, PR 00791 - Phone
- (787) 850-5222
- Fax
- (787) 850-5222
- NPI assigned
- Nov 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 66-0835299 | PR | Primary |
Addresses
Primary practice location
Centro Comercial Plaza Palma Real
Humacao, PR 00791
Mailing address
Centro Comercial Palma Real Humacao
Humacao, PR 00791
Phone (787) 850-5222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66-0835299 | Other | PR | OPTICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66-0835299 | PR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1346614047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CENTRO COMERCIAL PALMA REAL HUMACAO",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-850-5222",
"fax_number": "787-850-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO COMERCIAL PLAZA PALMA REAL",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-850-5222",
"fax_number": "787-850-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIN",
"first_name": "ANGEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-18",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "66-0835299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTICA",
"identifier": "66-0835299",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.