Active NPI
Lorenzo Berberena, OPTICIAN
- Eyewear Supplier
- Canovanas, PR
National Provider Identifier
1508178591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 647
- Practice address
- 95 Calle Palmer
Canovanas, PR 00729-3108 - Phone
- (787) 236-8382
- NPI assigned
- Jul 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 647 | PR | |
| Eyewear Supplier | 332H00000X | 647 | PR | Primary |
Addresses
Primary practice location
95 Calle Palmer
Canovanas, PR 00729-3108
Mailing address
PO Box 3002
Rio Grande, PR 00745-2906
Phone (787) 909-8343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 647 | PR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400803200000",
"number": "1508178591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3002",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007452906",
"telephone_number": "787-909-8343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 CALLE PALMER",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007293108",
"telephone_number": "787-236-8382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERBERENA",
"first_name": "LORENZO",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-08",
"last_updated": "2014-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "647",
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "PR",
"license": "647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canovanas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.