Active NPI
Mary Wolfe, O.D.
- Optometrist
- Hato Rey, PR
National Provider Identifier
1013138056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 598
- Practice address
- La Torre de Plaza Las Americas
Suite 705
Hato Rey, PR 00918 - Phone
- (787) 767-0599
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 598 | PR | Primary |
Addresses
Primary practice location
La Torre de Plaza Las Americas
Suite 705
Hato Rey, PR 00918
Mailing address
Urb. Torrimar
Calle Barcelona #10
Guaynabo, PR 00966
Phone (939) 940-3071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 598 | PR | MD | Speech-Language Pathologist |
Networks
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013138056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. TORRIMAR",
"address_2": "CALLE BARCELONA #10",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00966",
"telephone_number": "939-940-3071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LA TORRE DE PLAZA LAS AMERICAS",
"address_2": "SUITE 705",
"city": "HATO REY",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-767-0599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hato Rey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.