Vista-Clinica Visual

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

Legal business name

VISTA-CLINICA VISUAL

Practice address

Plaza San Cristobal Office Park # 2003
Suite 102
Coto Laurel, PR 00780

Phone

(787) 840-0303

NPI assigned

Jan 26, 2011

Organization subpart

No

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

Authorized official

Name

Niviana A. Yambo, OD

Title

Owner

Phone

(787) 840-0303

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Niviana Adelmary Yambo-Mercado, O.D.

  • Optometrist
  • Coto Laurel, PR
  • NPI 1477616258
  NPD (past)

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1366747198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA SAN CRISTOBAL OFFICE PARK # 2003",
            "address_2": "SUITE 102",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-840-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA SAN CRISTOBAL OFFICE PARK # 2003",
            "address_2": "SUITE 102",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-840-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA-CLINICA VISUAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "YAMBO",
        "authorized_official_first_name": "NIVIANA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-840-0303",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manley Velazquez
• Juan Velez Rivera, M.D.
• Maria Teresa Velez-Maldonado, M.D
• Jose Luis Vera-Miro, M.D.
• Vista Clinica Visual, LLC
• Wal-Mart Puerto Rico Inc (Walmart Vision Center 30-5793)
• Niviana Adelmary Yambo-Mercado, O.D.

• Vision Therapy Optometrist in Coto Laurel, PR
• Providers in Coto Laurel, PR by specialty
• Vision Therapy Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.