Healthcare Provider Details

I. General information

NPI: 1518880269
Provider Name (Legal Business Name): CVDP HEALTH MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. AGUSTIN RAMOS CALERO 7426
ISABELA PR
00662-3359
US

IV. Provider business mailing address

120 CALLE VISTA HERMOSA
ISABELA PR
00662-3359
US

V. Phone/Fax

Practice location:
  • Phone: 787-872-4730
  • Fax:
Mailing address:
  • Phone: 787-872-4730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: NISET M PEREZ
Title or Position: PRESIDENT
Credential: OD
Phone: 787-872-4730