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NPI 1487788360

OrganizationActive

Edrick Nieves Gonzalez

NPI 1487788360 · Optician · Mayaguez, PR

Provider details

NPI number: 1487788360
Entity type: Organization
Primary specialty: OpticianEye and Vision Services Providers
Authorized official: Edrick Nieves, Owner

Practice location

975 Ave Hostos

Suite 62, Mayaguez Mall

Mayaguez, PR 00680-1251

Phone: (787) 832-5540

Fax: (787) 832-5540

More PR providers

Mailing address

975 Ave Hostos

Mayaguez, PR 00680-1251

Registry dates

Enumerated: 2007-03-15
Last updated: 2013-03-22

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

Edrick Nieves Gonzalez — NPI 1487788360, Mayaguez, PR | NPI Central