Organization Active NPI

Nulook Clinica Visual Familiar C.S.P.

  • Optometrist
  • Juana Diaz, PR
National Provider Identifier
1992075188
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
676 Issued in PR
Legal business name
NULOOK CLINICA VISUAL FAMILIAR C.S.P.
Practice address
Carr 149 KM.63.8
Edificio Cruz Oficina 5
Juana Diaz, PR 00795
Phone
(787) 949-5051
NPI assigned
Jan 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Miss Yaritza Judith Marrero, O.D.NPI 1912221003
Title
President
Phone
(787) 949-5051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 676 PR Primary

Addresses

Primary practice location

Carr 149 KM.63.8
Edificio Cruz Oficina 5
Juana Diaz, PR 00795

Mailing address

PO Box 218
Juana Diaz, PR 00795-0218
Phone (787) 949-5051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120523000155 PR Part B Supplier - Clinic/Group Practice 5799948113 Receives reassigned benefits from 1 practitioner
Practice locations: Juana Diaz, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1992075188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007950218",
            "telephone_number": "787-949-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 149 KM.63.8",
            "address_2": "EDIFICIO CRUZ OFICINA 5",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-949-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULOOK CLINICA VISUAL FAMILIAR C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "YARITZA",
        "authorized_official_middle_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-949-5051",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.