Active NPIIndividual providerSole proprietor

Andrea M Horta Suarez, OD

Optometrist in San Juan, Puerto Rico

NPI Number1053905653
Practice location
360 Calle Del Parque, Ste 1 Ciudadela, San Juan, PR 00912-3717
Fax
787-945-5078
Last updated
May 19, 2021

Andrea M Horta Suarez is an Optometrist based in San Juan, PR. Andrea M Horta Suarez practices in San Juan, PR and has the professional credentials of OD. The NPI Number for Andrea M Horta Suarez is 1053905653 and holds a License No. 10150T (TX). The current practice location address for Andrea M Horta Suarez is 360 Calle Del Parque, Ste 1 Ciudadela, San Juan, PR 00912-3717 and can be reached out via phone at 787-919-3156 and via fax at 787-945-5078.

Provider Profile Details

NPI Number
1053905653
Provider Name
Andrea M Horta Suarez
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
360 Calle Del Parque, Ste 1 Ciudadela, San Juan, PR 00912-3717
Phone Number
787-919-3156
Fax Number
787-945-5078
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 24, 2021
Last Update Date
May 19, 2021
Certification Date
April 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
360 Calle Del Parque
Ste 1 Ciudadela
San Juan, PR 00912-3717
Zip
00912-3717
Phone Number
787-919-3156
Fax Number
787-945-5078
San Juan, PR 00912Get directions →

Provider Business Mailing Address Details

Address
360 Calle Del Parque
Ste 1 Ciudadela
San Juan, PR 00912-3717
City
San Juan
State
PR
Zip
00912-3717
Phone Number
787-919-3156
Fax Number
787-945-5078

License Information

License Number (1)
10150T
License State (1)
TX
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
749-450
License State (2)
PR
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrea M Horta Suarez, OD?

The NPI number of Andrea M Horta Suarez, OD is 1053905653. It was assigned on February 24, 2021 and is currently active in the NPPES registry.

What is the specialty of Andrea M Horta Suarez, OD?

Andrea M Horta Suarez, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in TX under license number 10150T.

Where does Andrea M Horta Suarez, OD practice?

The practice location is 360 Calle Del Parque, Ste 1 Ciudadela, San Juan, PR 00912-3717. The office can be reached at 787-919-3156 (phone) or 787-945-5078 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053905653 directly on the NPPES registry website.

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