Active NPI
Maribel Rodriguez Diaz, OPTICO
- Optician
- Gurabo, PR
National Provider Identifier
1982253993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1337
- Practice address
- Bda Campamento
13 Calle 6
Gurabo, PR 00778-2024 - Phone
- (787) 363-1752
- Fax
- (787) 737-6373
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1337 | PR | Primary |
Addresses
Primary practice location
Bda Campamento
13 Calle 6
Gurabo, PR 00778-2024
Mailing address
Bda Campamento
13 Calle 6
Gurabo, PR 00778-2024
Phone (787) 363-1752
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1337 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1982253993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BDA CAMPAMENTO",
"address_2": "13 CALLE 6",
"city": "GURABO",
"state": "PR",
"postal_code": "007782024",
"telephone_number": "787-363-1752",
"fax_number": "787-737-6373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BDA CAMPAMENTO",
"address_2": "13 CALLE 6",
"city": "GURABO",
"state": "PR",
"postal_code": "007782024",
"telephone_number": "787-363-1752",
"fax_number": "787-737-6373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ DIAZ",
"first_name": "MARIBEL",
"credential": "OPTICO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "1337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gurabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.