Provider Demographics
NPI:1154656692
Name:BARRETO, HECTOR M (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:M
Last Name:BARRETO
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE 33 R-7-8
Mailing Address - Street 2:URB TURABO GARDENS
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-5918
Mailing Address - Country:US
Mailing Address - Phone:787-391-3180
Mailing Address - Fax:
Practice Address - Street 1:CALLE 33 R-7-8
Practice Address - Street 2:URB TURABO GARDENS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-5918
Practice Address - Country:US
Practice Address - Phone:787-391-3180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR340156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician