Cleidy Joan Batista, OPT

Individual provider Active NPI Optician · Arecibo, PR

NPI 1740822253 · NPPES record last updated Jun 10, 2024

Key facts

NPI
1740822253
Entity type
Individual (NPI type 1)
Primary specialty
Optician 156FX1800X
License
1200 (PR)
Practice address
Carr 651 KM 2.5
Bo Hato Arriba Sector El Junco
Arecibo, PR 00612
Phone
(787) 816-7396
Fax
(787) 815-4433
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1200PRMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Puerto Rico Inc Past
since Jun 16, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1200 PR Yes

Addresses

Primary practice location

Carr 651 KM 2.5
Bo Hato Arriba Sector El Junco
Arecibo, PR 00612

Mailing address

Ave. Los Veteranos KM 134.7
Guayama, PR 00784
Phone (787) 864-1060

Other providers in Arecibo, PR

All providers in Arecibo, PR · Optician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.