NPIMap

Organization Active NPI

Optica San Vicente Inc

  • Health Service Clinic/Center
  • Ponce, PR
National Provider Identifier
1629257910
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
135 Issued in PR
Legal business name
OPTICA SAN VICENTE INC
Practice address
44 Calle Mayor
Zamora Building First Floor
Ponce, PR 00730-3728
Phone
(787) 844-8175
Fax
(787) 259-4462
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Miss Myriam M SantiagoNPI 1144363714
Title
Optician
Phone
(787) 844-8175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 135 PR Primary

Addresses

Primary practice location

44 Calle Mayor
Zamora Building First Floor
Ponce, PR 00730-3728

Mailing address

44 Calle Mayor
Zamora Building First Floor
Ponce, PR 00730-3728
Phone (787) 844-8175

National Provider Directory

National Provider Directory

Locations

44 Calle Mayor
#1
Ponce, PR 00730
Phone (787) 844-8175

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1629257910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CALLE MAYOR",
            "address_2": "ZAMORA BUILDING FIRST FLOOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303728",
            "telephone_number": "787-844-8175",
            "fax_number": "787-259-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CALLE MAYOR",
            "address_2": "ZAMORA BUILDING FIRST FLOOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303728",
            "telephone_number": "787-844-8175",
            "fax_number": "787-259-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICA SAN VICENTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "MYRIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "787-844-8175",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.