Iris Acsened Cintron Carrasquillo
Individual provider Active NPI Optician · Ponce, PR
NPI 1508332867 · NPPES record last updated Aug 9, 2022
Key facts
- NPI
- 1508332867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 438 (PR)
- Practice address
- Valle Alto 1041 Calle Picacho
Ponce, PR 00730-4136 - Phone
- (787) 651-6654
- Fax
- (787) 651-6654
- NPI assigned
- Oct 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 438 | PR | MD | Optician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 438 | PR | Yes |
Addresses
Primary practice location
Valle Alto 1041 Calle Picacho
Ponce, PR 00730-4136
Mailing address
Valle Alto 1041 Calle Picacho
Ponce, PR 00730-4136
Phone (787) 651-6654
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2022. 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.