Provider Demographics
NPI:1831894856
Name:MURATI, NICOLAS (OD)
Entity type:Individual
Prefix:
First Name:NICOLAS
Middle Name:
Last Name:MURATI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:NICOLAS
Other - Middle Name:
Other - Last Name:MURATI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:TERRACE L7
Mailing Address - Street 2:URB GARDEN HILLS
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-439-2050
Mailing Address - Fax:
Practice Address - Street 1:50 CALLE ISABEL II STE 106
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6396
Practice Address - Country:US
Practice Address - Phone:787-786-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-31
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR780152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist