Healthcare Provider Details
I. General information
NPI: 1962083899
Provider Name (Legal Business Name): TOPERBEE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/21/2021
Last Update Date: 04/22/2021
Certification Date: 04/22/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
PLAZA DEL NORTE 506 CALLE TRUNCADO UNIT C099
HATILLO PR
00659
US
IV. Provider business mailing address
PO BOX 9386
CAGUAS PR
00726-9386
US
V. Phone/Fax
- Phone: 787-879-2202
- Fax: 877-899-0454
- Phone: 787-653-2275
- Fax: 877-899-0454
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
JUARBE
Title or Position: CEO
Credential:
Phone: 787-653-2275