Individual provider Active NPI

Andre E Lamoutte-Negroni, O.D.

  • Optometrist
  • Guaynabo, PR
National Provider Identifier
1083943914
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
671-213 Issued in PR
Practice address
C8 Ave Alejandrino
Guaynabo, PR 00969-4704
Phone
(787) 720-4544
Fax
(787) 790-1622
NPI assigned
Dec 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 671-213 PR Primary

Addresses

Primary practice location

C8 Ave Alejandrino
Guaynabo, PR 00969-4704

Mailing address

C8 Ave Alejandrino
Guaynabo, PR 00969-4704
Phone (787) 720-4544

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
I20110727000123 PR Practitioner - Optometry 0547438152 Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

C8 Ave Alejandrino
Guaynabo, PR 00969

C8 Ave Alejandrino
Guaynabo, PR 00969-4704
Phone (787) 720-4544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
671PRMDGeneral Practice Dentistry
671-213PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
East a. Mere, MD C.S.P. Single Specialty Past Accepting new patients
Psycalma LLC Single Specialty Past Accepting new patients
San Juan Ophthalmology Group CSP Single Specialty Past Accepting new patients

Organizations & group practices 3

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": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1083943914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C8 AVE ALEJANDRINO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694704",
            "telephone_number": "787-720-4544",
            "fax_number": "787-790-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C8 AVE ALEJANDRINO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694704",
            "telephone_number": "787-720-4544",
            "fax_number": "787-790-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOUTTE-NEGRONI",
        "first_name": "ANDRE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-24",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "671-213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.