Individual provider Active NPI

Ramon Armaiz Guzman, O.D.

  • Optometrist
  • Vega Baja, PR
National Provider Identifier
1043389497
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
585 Issued in PR
Practice address
122 Calle Marginal
Plaza Monte Carlo Local #3
Vega Baja, PR 00693-4240
Phone
(787) 807-5858
Fax
(787) 807-5858
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 585 PR Primary

Addresses

Primary practice location

122 Calle Marginal
Plaza Monte Carlo Local #3
Vega Baja, PR 00693-4240

Mailing address

122 Calle Marginal Suite 3
Urb. Montecarlo
Vega Baja, PR 00693-4240
Phone (787) 807-5858

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
I20031217000001 PR Practitioner - Optometry 8921905076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
585PRMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optica del Norte, CSP Optometrist CurrentSince Feb 3, 2011 Accepting new patients

Locations

122 Calle Marginal
#3
Vega Baja, PR 00693
Phone (787) 807-5858

122 Calle Marginal
Ste 3
Vega Baja, PR 00693
Phone (787) 807-5858

Organizations & group practices 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1043389497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CALLE MARGINAL SUITE 3",
            "address_2": "URB. MONTECARLO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934240",
            "telephone_number": "787-807-5858",
            "fax_number": "787-807-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CALLE MARGINAL",
            "address_2": "PLAZA MONTE CARLO LOCAL #3",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934240",
            "telephone_number": "787-807-5858",
            "fax_number": "787-807-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMAIZ GUZMAN",
        "first_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.