Angel Diaz Marti
Individual provider Active NPI Optician · Carolina, PR
NPI 1629811963 · NPPES record last updated Jun 14, 2024
Key facts
- NPI
- 1629811963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 234 (PR)
- Practice address
- Plaz Escorial
Carolina, PR 00987 - Phone
- (787) 257-0500
- NPI assigned
- Jun 14, 2024
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 234 | PR | MD | Optician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 234 | PR | Yes |
Addresses
Primary practice location
Plaz Escorial
Carolina, PR 00987
Mailing address
Calle B # 21 la Antillana
Lago Alto
Trujillo Alto, PR 00976
Phone (787) 410-1674
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2024. 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.