MEDICARE: NICOLAS HUERTAS OPTICIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician	6356	FL

General Provider Information

NPI Number	:	1699248930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLAS HUERTAS OPTICIAN

Provider Business Mailing Address
First Line	:	4528 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3325
Country	:	US
Telephone Number	:	786-543-4130
Fax Number	:

Provider Business Practice Location Address
First Line	:	4528 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3325
Country	:	US
Telephone Number	:	305-557-6777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2019
Last Update Date	:	01/09/2019

Similar Medicare Providers

1629775986 — ROXANA ELAINE ROSALES PINO APRN
Practice Location Address:

4578 W 12TH AVE
HIALEAH, FL
33012-3325

Practice Phone: 305-828-1989
Practice Fax: 786-791-1253

1598705006 — MON ORTHOPEDIC INC
Practice Location Address:

4258 W 12 AVE
HIALEAH, FL
33012-3325

Practice Phone: 305-821-6181
Practice Fax: 305-835-0013

1962413385 — DANIEL J BASULTO MD
Practice Location Address:

4578 W 12TH AVE
HIALEAH, FL
33012-3325

Practice Phone: 305-828-1989
Practice Fax: 305-558-7397

1396846473 — LAS AMERICAS PARMACY CORP.
Practice Location Address:

4544 W 12TH AVE
HIALEAH, FL
33012-3325

Practice Phone: 305-828-3388
Practice Fax: 305-828-3377

1629154299 — DR. GELSYS SIMON DMD
Practice Location Address:

4564 W 12TH AVE
HIALEAH, FL
33012-3325

Practice Phone: 305-558-2446
Practice Fax: 305-558-1811

1972651164 — DR. LUANA CARCASSONI M.D.
Practice Location Address:

4578 W 12TH AVE
HIALEAH, FL
33012-3325

Practice Phone: 305-538-5239
Practice Fax:

1679627772 — DALUZ OPTICAL AND SUPPLIES INC
Practice Location Address:

4528 W 12TH AVE
HIALEAH, FL
33012-3325

Practice Phone: 305-557-6777
Practice Fax:

Directions to “ NICOLAS HUERTAS OPTICIAN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.