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NPI Code Detail

MEDICARE: HECTOR MORENO ARIAS OD

MEDICARE: HECTOR MORENO ARIAS OD
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
1152W00000XOptometrist1025PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11025OTHERPROPTOMETRY

General Provider Information

NPI Number : 1700297165
Entity Type Code : Individual
Provider Name (Legal Business Name) : HECTOR MORENO ARIAS OD
Provider Business Mailing Address
First Line : 600 AVE FERNANDEZ JUNCOS
Second Line : APTO 1005 COND VISTAS DE SAN JUAN
City : SAN JUAN
State : PR
Zip : 00907-3152
Country : US
Telephone Number : 201-381-8014
Fax Number :
Provider Business Practice Location Address
First Line : 600 AVE FERNANDEZ JUNCOS
Second Line : APTO 1005 COND VISTAS DE SAN JUAN
City : SAN JUAN
State : PR
Zip : 00907-3152
Country : US
Telephone Number : 201-381-8014
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2014
Last Update Date : 05/19/2014

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Directions to “ HECTOR MORENO ARIAS OD” Practice Location

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