Anteojos Di Moda

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ANTEOJOS DI MODA

Practice address

Metro Plaza Caguas Ave. Jose Garrido Villa Blanca Park
Local L-2
Caguas, PR 00725

Phone

(787) 662-0422

NPI assigned

Oct 12, 2018

Organization subpart

No

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

Authorized official

Name

Sandra I. Rodriguez, OD

Title

President

Phone

(787) 662-0422

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1639644990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 4231",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "007189708",
            "telephone_number": "787-662-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METRO PLAZA CAGUAS AVE. JOSE GARRIDO VILLA BLANCA PARK",
            "address_2": "LOCAL L-2",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-662-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTEOJOS DI MODA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-662-0422",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole A Andino Cruz, PSY
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• Anthony Aponte Diaz

• Optometrist in Caguas, PR
• Providers in Caguas, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.