Active NPI
Virgen Gonzalez, OPTICO
- Optician
- San Juan, PR
National Provider Identifier
1093206435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 00462
- Practice address
- 1000 Mall of San Juan Blvd
Suite #251 San Juan 00924
San Juan, PR 00924 - Phone
- (939) 777-2566
- Fax
- (000) 000-0000
- NPI assigned
- May 22, 2018
- Last updated
- Sep 22, 2021
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 00462 | NU | Primary |
Addresses
Primary practice location
1000 Mall of San Juan Blvd
Suite #251 San Juan 00924
San Juan, PR 00924
Mailing address
1000 Mall of San Juan Blvd
Suite #251 San Juan 00924
San Juan, PR 00924
Phone (939) 777-2566
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VM Optical LLC | Optician | Current | Accepting new patients |
| VM Optical LLC | Optician | Current | Accepting new patients |
Locations
1000 Mall of San Juan Blvd
Ste 251
San Juan, PR 00924
Phone (939) 777-2566
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optician
- San Juan, PR
- NPI 1356815484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1093206435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MALL OF SAN JUAN BLVD",
"address_2": "SUITE #251 SAN JUAN 00924",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "939-777-2566",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MALL OF SAN JUAN BLVD",
"address_2": "SUITE #251 SAN JUAN 00924",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "939-777-2566",
"fax_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "VIRGEN",
"name_prefix": "Ms.",
"credential": "OPTICO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NU",
"license": "00462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.