Jessica Alicea Barriera, OPTICO LICENCIADO
Individual provider Active NPI Optician · Humacao, PR
NPI 1346890159 · NPPES record last updated Jun 3, 2023
Key facts
- NPI
- 1346890159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 1377 (PR)
- Practice address
- 111 Calle Dufresne W
Humacao, PR 00791-3601 - Phone
- (787) 223-5932
- NPI assigned
- Sep 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1377 | PR | Yes |
Addresses
Primary practice location
111 Calle Dufresne W
Humacao, PR 00791-3601
Mailing address
Urb Paseo de la Ceiba 212 Calle Areca
Juncos, PR 00777
Phone (787) 206-6753
Other names
- New Zoom Optical
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.