Pedro Cuellar, MPH
Individual provider Active NPI Optician · San Juan, PR
NPI 1609155456 · NPPES record last updated Aug 10, 2011
Key facts
- NPI
- 1609155456
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 308 (PR)
- Practice address
- 1640 Calle Tamesis
San Juan, PR 00926-2953 - Phone
- (215) 298-2823
- NPI assigned
- Aug 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Eye Solutions | Optician | Past | Accepting new patients |
| Salud Eye Solutions | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 308 | PR | Yes |
Addresses
Primary practice location
1640 Calle Tamesis
San Juan, PR 00926-2953
Mailing address
PO Box 367476
San Juan, PR 00936-7476
Phone (215) 298-2823
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2011. 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.