Luis Lebron Davila
Individual provider Active NPI Optician · Maunabo, PR
NPI 1750123535 · NPPES record last updated Jun 11, 2024
Key facts
- NPI
- 1750123535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 1208 (PR)
- Practice address
- Urb. Brisas de Emajaguas K13 Calle Ceiba
Maunabo, PR 00707 - Phone
- (787) 955-1961
- NPI assigned
- Jun 11, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1208 | PR | Yes |
Addresses
Primary practice location
Urb. Brisas de Emajaguas K13 Calle Ceiba
Maunabo, PR 00707
Mailing address
PO Box 1321
Maunabo, PR 00707-1321
Phone (787) 955-1961
Other providers in Maunabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 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.