Individual provider Active NPI

Rolando Delgado, D.O.

  • Optometrist
  • Yauco, PR
National Provider Identifier
1003001736
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00338 Issued in PR
Practice address
Carr.128 K.M.2.2 Bo.Susua Baja
Suite 106 Yauco Gallery
Yauco, PR 00698
Phone
(787) 856-5757
NPI assigned
Sep 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 00338 PR Primary

Addresses

Primary practice location

Carr.128 K.M.2.2 Bo.Susua Baja
Suite 106 Yauco Gallery
Yauco, PR 00698

Mailing address

PO Box 1135
Yauco, PR 00698-1135
Phone (787) 425-7824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070717000082 PR Practitioner - Optometry 0446350656 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
00338PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
For Eyes Optical of Puerto Rico, LLC Current Accepting new patients
Luxottica of America Inc. CurrentSince Apr 2, 2017 Accepting new patients
For Eyes Optical of Puerto Rico, LLC CurrentSince Oct 13, 2022 Accepting new patients
For Eyes Optical of Puerto Rico, LLC Optometrist CurrentSince Oct 13, 2022 Accepting new patients
Rolando Delgado Vega Optometrist Past Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

4000 Luxottica Pl
Mason, OH 45040
Phone (513) 765-2155

200 Ave Rafael Cordero
Ste 106
Caguas, PR 00725
Phone (939) 332-7043

2050 Ponce Byp
Ste 101
Ponce, PR 00716
Phone (787) 259-8882

2050 Ponce Byp
Ste 111
Ponce, PR 00716
Phone (787) 259-7059

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1003001736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1135",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006981135",
            "telephone_number": "787-425-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR.128 K.M.2.2 BO.SUSUA BAJA",
            "address_2": "SUITE 106 YAUCO GALLERY",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "ROLANDO",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "00338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.