Active NPIIndividual providerSole proprietor

Edrick Nieves Gonzalez

Technician/Technologist, Optician in Mayaguez, Puerto Rico

NPI Number1396087508
Practice location
975 Ave Hostos, Suite 62, Mayaguez, PR 00680-1251
Fax
787-832-5540
Last updated
March 26, 2013

Edrick Nieves Gonzalez is a Technician/Technologist, Optician based in Mayaguez, PR. Edrick Nieves Gonzalez practices in Mayaguez, PR. The NPI Number for Edrick Nieves Gonzalez is 1396087508 and holds a License No. 155525 (FL). The current practice location address for Edrick Nieves Gonzalez is 975 Ave Hostos, Suite 62, Mayaguez, PR 00680-1251 and can be reached out via phone at 787-832-5540 and via fax at 787-832-5540.

Provider Profile Details

NPI Number
1396087508
Provider Name
Edrick Nieves Gonzalez
Provider Entity Type
Individual
Gender
Male
Address
975 Ave Hostos, Suite 62, Mayaguez, PR 00680-1251
Phone Number
787-832-5540
Fax Number
787-832-5540
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
Yes
Provider Enumeration Date
March 26, 2013
Last Update Date
March 26, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
975 Ave Hostos
Suite 62
Mayaguez, PR 00680-1251
Zip
00680-1251
Phone Number
787-832-5540
Fax Number
787-832-5540
Mayaguez, PR 00680Get directions →

Provider Business Mailing Address Details

Address
Po Box 3294
Mayaguez, PR 00681-3294
City
Mayaguez
State
PR
Zip
00681-3294
Phone Number
787-501-4333
Fax Number
787-805-0288

License Information

License Number
155525
License State
FL
Taxonomy
Technician/Technologist, Optician · 156FX1800X · 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 Edrick Nieves Gonzalez?

The NPI number of Edrick Nieves Gonzalez is 1396087508. It was assigned on March 26, 2013 and is currently active in the NPPES registry.

What is the specialty of Edrick Nieves Gonzalez?

Edrick Nieves Gonzalez is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in FL under license number 155525.

Where does Edrick Nieves Gonzalez practice?

The practice location is 975 Ave Hostos, Suite 62, Mayaguez, PR 00680-1251. The office can be reached at 787-832-5540 (phone) or 787-832-5540 (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 1396087508 directly on the NPPES registry website.

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