Andres F Castro Soto

Individual provider Active NPI Optician · Moca, PR

NPI 1598027583 · NPPES record last updated Jun 14, 2012

Key facts

NPI
1598027583
Entity type
Individual (NPI type 1)
Primary specialty
Optician 156FX1800X
License
751 (PR)
Practice address
158 Calle Cedro
Los Robles
Moca, PR 00676-4213
Phone
(787) 224-4425
NPI assigned
Jun 14, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
751PRMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 751 PR Yes

Addresses

Primary practice location

158 Calle Cedro
Los Robles
Moca, PR 00676-4213

Mailing address

158 Calle Cedro
Los Robles
Moca, PR 00676-4213
Phone (787) 224-4425

Other providers in Moca, PR

All providers in Moca, PR · Optician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.