Vista Clinica Visual, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISTA CLINICA VISUAL, LLC

Practice address

1718 Carr 506 Ste 101
Coto Laurel, PR 00780-2948

Phone

(787) 840-4646

Fax

(787) 840-4646

NPI assigned

Jan 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Niviana A Yambo-Mercado, ODNPI 1477616258

Title

President

Phone

(787) 840-4646

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Niviana Adelmary Yambo-Mercado, O.D.

  • Optometrist
  • Coto Laurel, PR
  • NPI 1477616258
  NPD Authorized official
• Angel L Alicea Ortiz, O.D.

  • Optometrist
  • Coto Laurel, PR
  • NPI 1598837007
  NPD

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1508339722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 CALLE ISABEL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802601",
            "telephone_number": "787-840-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 CARR 506 STE 101",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802948",
            "telephone_number": "787-840-4646",
            "fax_number": "787-840-4646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 Carr. 506 Suite 101",
            "address_purpose": "LOCATION",
            "city": "Coto Laurel",
            "state": "PR",
            "postal_code": "007802601",
            "country_code": "US",
            "telephone_number": "787-840-4646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1718 Carr. 506 Suite 101",
            "address_purpose": "LOCATION",
            "city": "Coto Laurel",
            "state": "PR",
            "postal_code": "007802601",
            "country_code": "US",
            "telephone_number": "787-840-4646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1718 Carr. 506 Suite 101",
            "address_purpose": "LOCATION",
            "city": "Coto Laurel",
            "state": "PR",
            "postal_code": "007802601",
            "country_code": "US",
            "telephone_number": "787-840-4646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1718 Carr. 506 Suite 101",
            "address_purpose": "LOCATION",
            "city": "Coto Laurel",
            "state": "PR",
            "postal_code": "007802601",
            "country_code": "US",
            "telephone_number": "787-840-4646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISTA CLINICA VISUAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "YAMBO-MERCADO",
        "authorized_official_first_name": "NIVIANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-840-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamila Sofia Vazquez
• Manley Velazquez
• Juan Velez Rivera, M.D.
• Maria Teresa Velez-Maldonado, M.D
• Jose Luis Vera-Miro, M.D.
• Vista-Clinica Visual
• Wal-Mart Puerto Rico Inc
• Niviana Adelmary Yambo-Mercado, O.D.

• Optometrist in Coto Laurel, PR
• Providers in Coto Laurel, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.