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Edrick Nieves Gonzalez — NPI 1396087508, Mayaguez, PR | NPI Central

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NPI 1396087508

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Edrick Nieves Gonzalez

NPI 1396087508 · Optician · Mayaguez, PR

Provider details

NPI number: 1396087508
Entity type: Individual
Primary specialty: OpticianEye and Vision Services Providers
Sex: Male
Sole proprietor: Yes
License: 155525 (FL)

Specialties & taxonomies

OpticianPrimary156FX1800XLicense 155525 (FL)
Eye and Vision Services Providers

Practice location

975 Ave Hostos

Suite 62

Mayaguez, PR 00680-1251

Phone: (787) 832-5540

Fax: (787) 832-5540

More PR providers

Mailing address

Po Box 3294

Mayaguez, PR 00681-3294

Registry dates

Enumerated: 2013-03-26
Last updated: 2013-03-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.