1235429804 NPI number — BEST EYE-SERVICIOS OPTOMETRICOS

Table of content: GALEB NABIL BADER MD (NPI 1841091733)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235429804 NPI number — BEST EYE-SERVICIOS OPTOMETRICOS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEST EYE-SERVICIOS OPTOMETRICOS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235429804
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/13/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HC 3 BOX 14967
Provider Second Line Business Mailing Address:
BO. MULAS
Provider Business Mailing Address City Name:
AGUAS BUENAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00703-8316
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-924-7777
Provider Business Mailing Address Fax Number:
787-924-7777

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR. 174, KM 21.7
Provider Second Line Business Practice Location Address:
BO. MULAS
Provider Business Practice Location Address City Name:
AGUAS BUENAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00703-8337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-924-7777
Provider Business Practice Location Address Fax Number:
787-924-7777
Provider Enumeration Date:
04/15/2011

Additional Information

Authorized Official

Authorized Official Last Name:
GUERRERO
Authorized Official First Name:
MARIA
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-240-7163

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: FD518A . This is a "PTAN" identifier . This identifiers is of the category "OTHER".




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