Active NPI
Bog Group Guaynabo Corp
- Eyewear Supplier
- Guaynabo, PR
National Provider Identifier
1598663775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- BOG GROUP GUAYNABO CORP
- Practice address
- Plaza Guaynabo Shopping Center
Guaynabo, PR 00969 - Phone
- (737) 773-1144
- Fax
- (787) 773-1144
- NPI assigned
- Oct 28, 2026
- Last updated
- Oct 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roberto Fernando Simoni
- Title
- President/Owner
- Phone
- (516) 639-3029
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Optician | 156FX1800X | |||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
Plaza Guaynabo Shopping Center
Guaynabo, PR 00969
Mailing address
PO Box 540
Dorado, PR 00646-0540
Phone (787) 773-1144
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793145600000",
"number": "1598663775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 540",
"city": "DORADO",
"state": "PR",
"postal_code": "006460540",
"telephone_number": "787-773-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAZA GUAYNABO SHOPPING CENTER",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "737-773-1144",
"fax_number": "787-773-1144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOG GROUP GUAYNABO CORP",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-28",
"last_updated": "2026-10-28",
"status": "A",
"authorized_official_last_name": "SIMONI",
"authorized_official_first_name": "ROBERTO",
"authorized_official_middle_name": "FERNANDO",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "516-639-3029",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.