Individual provider Active NPI

Albert Rivera

  • Optician
  • Villalba, PR
National Provider Identifier
1740525880
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
906 Issued in PR
Practice address
18 Calle Munoz Rivera
Clinica Visual Villalba
Villalba, PR 00766-2227
Phone
(787) 847-1234
NPI assigned
Nov 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 906 PR Primary

Addresses

Primary practice location

18 Calle Munoz Rivera
Clinica Visual Villalba
Villalba, PR 00766-2227

Mailing address

18 Calle Munoz Rivera
Clinica Visual Villalba
Villalba, PR 00766-2227
Phone (787) 847-1234

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

LicenseStateTypeSpecialty
906PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Visual Villalba Optician Current Accepting new patients

Locations

18 Calle Munoz Rivera
Villalba, PR 00766
Phone (787) 847-1234

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1740525880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CALLE MUNOZ RIVERA",
            "address_2": "CLINICA VISUAL VILLALBA",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007662227",
            "telephone_number": "787-847-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CALLE MUNOZ RIVERA",
            "address_2": "CLINICA VISUAL VILLALBA",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007662227",
            "telephone_number": "787-847-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ALBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-30",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villalba, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.