KEM - JIREH OPTICAL (NPI# 1073854212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073854212 |
| Entity Type | Organization |
| Organization Name | KEM - JIREH OPTICAL |
| Practice Address |
Carr 195 Km 4.5 Bo Campo Rico Canovanas PR 00729 |
| Mailing Address |
Calle Orquidea #60a Bzn 671 Buena Ventura Carolina PR 00987-8200 |
| Practice Telephone | 7873647761 |
| Practice Fax Number | 7876554656 |
| Mailing Telephone | 7873647761 |
| Mailing Fax Number | 7876554656 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-04-26 |
| Authorized Official Name | MR. EMANUEL VELAZQUEZ (LICENCIADO) |
| Authorized Official Telephone | 7873647731 |
| Authorized Official Credential | LICENCIADO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | 586 | Eye and Vision Services Providers |
| Street Address |
CARR 195 KM 4.5 BO CAMPO RICO |
| City | CANOVANAS |
| State | PR |
| Zip Code | 00729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875180 | Centro De Terapia Fisica Campo Rico Inc | Clinic/Center | Carr 185 Km 5.5 Bo. Campo Rico, Canovanas, PR 00729 | 2020-09-10 |
| 1518571975 | Sensory Centro De Desarrollo | Psychologist | Edificio Multiusos Pbo-5, Calle Autonomia, Esq. Betances Bo. Pueblo, Canovanas, PR 00729 | 2020-09-03 |
| 1245843317 | Gelycan Corp | Community/Behavioral Health | Carr 186 Km95, Cubuy, Canovanas, PR 00729 | 2020-08-28 |
| 1538772603 | Picoreto Therapy Group LLC | Psychologist | Edificio Multiusos, Pbo 5 Calle Autonomia Esq Pepita Albandoz, Canovanas, PR 00729 | 2020-08-28 |
| 1790395911 | Kenneth Landron | Chiropractor | River Garden, Calle Flor De Tatiana # B4, Canovanas, PR 00729 | 2020-08-03 |
| 1982221800 | Natalie Crystal Rivera Rodriguez | Student in an Organized Health Care Education/Training Program | Urb River Valley C. Rio La Plata E 11, Canovanas, PR 00729 | 2020-06-26 |
| 1295358380 | Ed Bonano | Technician/Technologist | Z 974 Calle Bahunia Loiza Valley, Canovanas, PR 00729 | 2020-05-22 |
| 1477184943 | Krystle Marie Feliciano | Social Worker | Loiza Valleyshopping Center, Local Aa-6, Canovanas, PR 00729 | 2020-02-03 |
| 1932730421 | Bethzaida Cotto | Occupational Therapy Assistant | Canovanas Mall Enrique Mangual Carr. 185 Km. 1.0, Local 14, Canovanas, PR 00729 | 2020-02-03 |
| 1881225779 | Annette Marie Figueroa | Pharmacist | Urb Las Haciendas 15128 Calle Camino Alto, Canovanas, PR 00729 | 2020-01-29 |
| Find all providers in zip 00729 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221818 | Laboratorio Clinico Zarza Inc | Technician/Technologist | Bo Puente Zarza Carr 2 Km 90 Interior, Camuy, PR 00678 | 2020-06-26 |
| 1629553185 | Karim Berrios Gomez | Technician/Technologist | Suite 06 Ralph Plaza, Gurabo, PR 00778 | 2018-10-01 |
| 1467954123 | Marlyn Lynette Colon Toro | Technician/Technologist | E25 Haciendas Del Cayabo, Juana Diaz, PR 00795 | 2018-03-08 |
| 1629508080 | Lourdes Del Carmen Cuevas | Technician/Technologist | 33 Ave Padre Noel, Ponce, PR 00716-8062 | 2017-06-18 |
| 1265978852 | J&f Optical Service Incorporated | Technician/Technologist | B275 Carr 693, Doramar Plaza, Dorado, PR 00646 | 2017-01-06 |
| 1336595693 | Maria Magdalena Berrios | Technician/Technologist | 975 Ave Americo Miranda, San Juan, PR 00921-2801 | 2016-05-05 |
| 1457780199 | Rene Perez | Technician/Technologist | 153 Ave Jose De Diego, Arecibo, PR 00612-4779 | 2013-11-04 |
| 1821335266 | Emanuel Velazquez Sr. | Technician/Technologist | Calle Orguidea #60a 671, Buenaventura, Carolina, PR 00987 | 2013-01-04 |
| 1598061947 | Ida Otero | Technician/Technologist | Cond Sierra Bayamon, 7-13 North Main Ste. 1, Bayamon, PR 00961-4201 | 2011-02-02 |
| 1902040876 | Aguedita Reyes Reyes | Technician/Technologist | 75-48 Calle 64, Bayamon, PR 00961-4538 | 2009-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.