Premium Vision Holdings LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PREMIUM VISION HOLDINGS LLC

Practice address

Plaza Prados del Sur 3-B3 Interseccion Carr 143 Y 542
Santa Isabel, PR 00757

Phone

(787) 558-5505

NPI assigned

Sep 14, 2026

Last updated

Sep 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gabriel Santos Delgado, ODNPI 1760724777

Title

Optometrist

Phone

(787) 558-5501

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, and the practitioner matching its NPPES authorized official.

• Gabriel Santos-Delgado, O.D

  • Optometrist
  • Fajardo, PR
  • NPI 1760724777
  Authorized official Same address or phone

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1467363036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA FAJARDO CARR 3 SUITE 125",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-558-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA PRADOS DEL SUR  3-B3 INTERSECCION CARR 143 Y 542",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-558-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM VISION HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "SANTOS DELGADO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "787-558-5501",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio A. Peguero Rivera, M.D.
• Alejandro Perez
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• Yahaira Pizarro
• Keysha Pomales Cruz, PHARMD
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• Primary & Internal Medicine
• PT Medical Services, Inc.
• Puerto Rico Emergency Medical Service and Transportation Corp
• Raul Quesada

• Optometrist in Santa Isabel, PR
• Providers in Santa Isabel, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.