| Nogal Visual Clinic Corp | |
|
Urb Lomas Verdes Nogal Ave 4x2 Bayamon PR 00956 | |
| (787) 798-1315 | |
| (787) 780-5538 |
| Full Name | Nogal Visual Clinic Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | Urb Lomas Verdes, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Mary Merced (PRESIDENT) |
| Authorized Official Contact | 7877981315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nogal Visual Clinic Corp Urb Lomas Verdes Nogal Ave 4x2 Bayamon PR 00956 Ph: (787) 798-1315 | Nogal Visual Clinic Corp Urb Lomas Verdes Nogal Ave 4x2 Bayamon PR 00956 Ph: (787) 798-1315 |
| NPI Number | 1487071288 |
|---|---|
| Provider Enumeration Date | 03/19/2014 |
| Last Update Date | 02/15/2019 |
| Medicare PECOS PAC ID | 3678811031 |
|---|---|
| Medicare Enrollment ID | O20190208002267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487071288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 335093 (Puerto Rico) | Primary |
| Provider Name | Mary Merced |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639177116 PECOS PAC ID: 8325290976 Enrollment ID: I20121206000411 |
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