Ginalette Talavera Rodriguez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

746-447 Issued in PR

Practice address

2 Calle Colon Ste 16
Aguada, PR 00602-3167

Phone

(787) 589-7468

Fax

(787) 589-7469

NPI assigned

Dec 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clinica Vision LLC

  • Health Service Clinic/Center
  • Aguada, PR
  • NPI 1720404346
  Medicare reassignment NPD

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1003455023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE COLON STE 16",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023167",
            "telephone_number": "787-589-7468",
            "fax_number": "787-589-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE COLON STE 16",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023167",
            "telephone_number": "787-589-7468",
            "fax_number": "787-589-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALAVERA RODRIGUEZ",
        "first_name": "GINALETTE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "746-447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoraida Soto, O.T.
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• Star Life EMS LLC
• Star Life LLC
• The Balance Clinic LLC
• Torrado MD LLC
• Cintya Michelle Torrado, MD
• Miguel Torres Crespo, M.D.
• Jaysha Denise Torres Fernandez, RN, BSN, CWSCN

• Optometrist in Aguada, PR
• Providers in Aguada, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.