Deo Pr Retail 1 LLC
Eyewear Supplier (Equipment, not the service) in San Juan, Puerto Rico
1881224673- Practice location
- Avenida De Diego, 310 Plaza De Diego Local 102B, San Juan, PR 00909
- Phone
- 787-776-8570
- Fax
- —
- Last updated
- October 10, 2023
Deo Pr Retail 1 LLC is a healthcare organization based in San Juan, PR. Deo Pr Retail 1 LLC practices in San Juan, PR. The NPI Number for Deo Pr Retail 1 LLC is 1881224673. The current practice location address for Deo Pr Retail 1 LLC is Avenida De Diego, 310 Plaza De Diego Local 102B, San Juan, PR 00909 and can be reached out via phone at 787-776-8570.
Provider Profile Details
- NPI Number
- 1881224673
- Provider Name
- Deo Pr Retail 1 LLC
- Provider Entity Type
- Organization
- Address
- Avenida De Diego, 310 Plaza De Diego Local 102B, San Juan, PR 00909
- Phone Number
- 787-776-8570
- Primary Taxonomy
- Eyewear Supplier (Equipment, not the service) · 332H00000X
- Organization Subpart
- Yes
- Parent Organization
- Shalem Consumer Brands
- Authorized Official
- Mr. Gustavo Andres Gautren · Dir. Of. Operations · 782-429-6724
- Other Names
- Deo (Doing Business As)
- Provider Enumeration Date
- January 21, 2020
- Last Update Date
- October 10, 2023
- Certification Date
- April 17, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Avenida De Diego
310 Plaza De Diego Local 102B
San Juan, PR 00909 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00909
- Phone Number
- 787-776-8570
Provider Business Mailing Address Details
- Address
- 162 Montague St Apt 2
Brooklyn, NY 11201-3506 - City
- Brooklyn
- State
- NY
- Zip
- 11201-3506
- Phone Number
- 646-512-0313
License Information
- Taxonomy (1)
- Optometrist · 152W00000X
- Taxonomy (2)
- Eyewear Supplier (Equipment, not the service) · 332H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Deo Pr Retail 1 LLC?
The NPI number of Deo Pr Retail 1 LLC is 1881224673. It was assigned on January 21, 2020 and is currently active in the NPPES registry.
What is the specialty of Deo Pr Retail 1 LLC?
Deo Pr Retail 1 LLC is registered under the primary taxonomy Eyewear Supplier (Equipment, not the service) (code 332H00000X).
Where does Deo Pr Retail 1 LLC practice?
The practice location is Avenida De Diego, 310 Plaza De Diego Local 102B, San Juan, PR 00909. The office can be reached at 787-776-8570 (phone).
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 1881224673 directly on the NPPES registry website.