Edrick Nieves Gonzalez
Organization Active NPI Optician · Mayaguez, PR
NPI 1487788360 · NPPES record last updated Mar 22, 2013
Key facts
- NPI
- 1487788360
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optician 156FX1800X
- Legal business name
- EDRICK NIEVES GONZALEZ
- Practice address
- 975 Ave Hostos
Suite 62, Mayaguez Mall
Mayaguez, PR 00680-1251 - Phone
- (787) 832-5540
- Fax
- (787) 832-5540
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Edrick Nieves, OPTICIAN
- Title
- Owner
- Phone
- (787) 501-4333
Practitioners 3
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | Yes |
Addresses
Primary practice location
975 Ave Hostos
Suite 62, Mayaguez Mall
Mayaguez, PR 00680-1251
Mailing address
975 Ave Hostos
Suite 62, Mayaguez Mall
Mayaguez, PR 00680-1251
Phone (787) 832-5540
Other names
- OJOS CENTRO OPTICO WEST
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2013. 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.