Active NPIIndividual provider

Raul C Detres, OD

Optometrist in Aguadilla, Puerto Rico

NPI Number1649353137
Practice location
Aguadilla Mall, Aguadilla, PR 00603
Fax
787-882-0079
Last updated
July 8, 2007

Raul Cruz Detres is an Optometrist based in Aguadilla, PR. Raul Cruz Detres practices in Aguadilla, PR and has the professional credentials of OD. The NPI Number for Raul Cruz Detres is 1649353137 and holds a License No. 267 (PR). The current practice location address for Raul Cruz Detres is Aguadilla Mall, Aguadilla, PR 00603 and can be reached out via phone at 787-882-0077 and via fax at 787-882-0079.

Provider Profile Details

NPI Number
1649353137
Provider Name
Raul Cruz Detres
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
Aguadilla Mall, Aguadilla, PR 00603
Phone Number
787-882-0077
Fax Number
787-882-0079
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
October 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Aguadilla Mall
Aguadilla, PR 00603
Zip
00603
Phone Number
787-882-0077
Fax Number
787-882-0079
Aguadilla, PR 00603Get directions →

Provider Business Mailing Address Details

Address
3112 Ave Juan Hernandez Ortiz
Isabela, PR 00662-3614
City
Isabela
State
PR
Zip
00662-3614
Phone Number
787-872-6515

License Information

License Number
267
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 Raul C Detres, OD?

The NPI number of Raul C Detres, OD is 1649353137. It was assigned on October 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Raul C Detres, OD?

Raul C Detres, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PR under license number 267.

Where does Raul C Detres, OD practice?

The practice location is Aguadilla Mall, Aguadilla, PR 00603. The office can be reached at 787-882-0077 (phone) or 787-882-0079 (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 1649353137 directly on the NPPES registry website.

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