Provider Demographics
NPI:1811025810
Name:NARVAEZ, DAVID (LIC OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:NARVAEZ
Suffix:
Gender:M
Credentials:LIC OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 CALLE JUAN P DUARTE
Mailing Address - Street 2:
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00917-3631
Mailing Address - Country:US
Mailing Address - Phone:787-772-4710
Mailing Address - Fax:787-772-4710
Practice Address - Street 1:200 CALLE JUAN P DUARTE
Practice Address - Street 2:
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00917-3631
Practice Address - Country:US
Practice Address - Phone:787-772-4710
Practice Address - Fax:787-772-4710
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR692156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician