Individual provider Active NPI

Leida Rivera Williams

  • Optician
  • Vega Baja, PR
National Provider Identifier
1902582323
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1400 Issued in PR
Practice address
412 Paseo Trio Vegabajeno
Vega Baja, PR 00693-5830
Phone
(787) 858-1695
Fax
(787) 858-1695
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1400 PR Primary

Addresses

Primary practice location

412 Paseo Trio Vegabajeno
Vega Baja, PR 00693-5830

Mailing address

HC 8 Box 68920
Arecibo, PR 00612-6125
Phone (787) 881-0169

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
1400PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1902582323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 8 BOX 68920",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006126125",
            "telephone_number": "787-881-0169",
            "fax_number": "787-815-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 PASEO TRIO VEGABAJENO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935830",
            "telephone_number": "787-858-1695",
            "fax_number": "787-858-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA WILLIAMS",
        "first_name": "LEIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "1400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.