Ivan M Saavedra, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

147 Issued in PR

Practice address

10 Ave Esteves
Utuado, PR 00641-3025

Phone

(787) 640-8517

Fax

(787) 814-0707

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

No

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

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.

• Lenscrafters International Inc

  • Eyewear Supplier
  • Utuado, PR
  • NPI 1134272446
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1003999574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AVE ESTEVES",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006413025",
            "telephone_number": "787-640-8517",
            "fax_number": "787-814-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AVE ESTEVES",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006413025",
            "telephone_number": "787-640-8517",
            "fax_number": "787-814-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAVEDRA",
        "first_name": "IVAN",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Ivan Roque, MSW
• Arturo Rosado
• Bryant Rosado
• Marilinda Ruiz Acosta
• Rosibel Ruiz, DM.
• Nitsya Del Carmen Salcedo, PSICOLOGA
• Gabriel O Salgado Garcia, MD
• Francheska Virginia Salgado, MD
• Alba N Salva
• San Juan Vamc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.