Active NPI
Angel Diaz Marti
- Optician
- Carolina, PR
National Provider Identifier
1629811963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 234
- Practice address
- Plaz Escorial
Carolina, PR 00987 - Phone
- (787) 257-0500
- NPI assigned
- Jun 14, 2024
- Last updated
- Jun 14, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 234 | PR | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234 | PR | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1629811963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE B # 21 LA ANTILLANA",
"address_2": "LAGO ALTO",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-410-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAZ ESCORIAL",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-257-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ MARTI",
"first_name": "ANGEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-14",
"last_updated": "2024-06-14",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.