Damian L Reyes

Individual provider Active NPI Optician · Comerio, PR

NPI 1386865533 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1386865533
Entity type
Individual (NPI type 1)
Primary specialty
Optician 156FX1800X
License
795 (PR)
Practice address
HC 1 Box 2524
Comerio, PR 00782
Phone
(787) 506-0525
Fax
(787) 859-5902
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 795 PR Yes

Addresses

Primary practice location

HC 1 Box 2524
Comerio, PR 00782

Mailing address

HC 1 Box 2524
Comerio, PR 00782-9781
Phone (787) 506-0525

Other providers in Comerio, PR

All providers in Comerio, PR · Optician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.