Active NPIIndividual providerSole proprietor

Dr. Edison Marin, OD

Optometrist in Carolina, Puerto Rico

NPI Number1063504439
Practice location
5829 Ave 65 Infanteria Ste 105, Carolina, PR 00987-5008
Fax
787-276-4835
Last updated
September 15, 2024

Edison Marin is an Optometrist based in Carolina, PR. Edison Marin practices in Carolina, PR and has the professional credentials of OD. The NPI Number for Edison Marin is 1063504439 and holds a License No. 393 (PR). The current practice location address for Edison Marin is 5829 Ave 65 Infanteria Ste 105, Carolina, PR 00987-5008 and can be reached out via phone at 787-276-3435 and via fax at 787-276-4835.

Provider Profile Details

NPI Number
1063504439
Provider Name
Edison Marin
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
5829 Ave 65 Infanteria Ste 105, Carolina, PR 00987-5008
Phone Number
787-276-3435
Fax Number
787-276-4835
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 29, 2006
Last Update Date
September 15, 2024
Certification Date
September 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
5829 Ave 65 Infanteria Ste 105
Carolina, PR 00987-5008
Zip
00987-5008
Phone Number
787-276-3435
Fax Number
787-276-4835
Carolina, PR 00987Get directions →

Provider Business Mailing Address Details

Address
Po Box 361493
San Juan, PR 00936-1493
City
San Juan
State
PR
Zip
00936-1493
Phone Number
787-276-3435
Fax Number
787-276-4835

License Information

License Number
393
License State
PR
Taxonomy
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 Dr. Edison Marin, OD?

The NPI number of Dr. Edison Marin, OD is 1063504439. It was assigned on September 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Edison Marin, OD?

Dr. Edison Marin, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PR under license number 393.

Where does Dr. Edison Marin, OD practice?

The practice location is 5829 Ave 65 Infanteria Ste 105, Carolina, PR 00987-5008. The office can be reached at 787-276-3435 (phone) or 787-276-4835 (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 1063504439 directly on the NPPES registry website.

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