Estudio Optometrico LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ESTUDIO OPTOMETRICO LLC

Practice address

208 Ave Ponce de Leon Ste P04
San Juan, PR 00918-1001

Phone

(787) 767-5051

NPI assigned

Nov 30, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Adalberto Rodriguez, OD

Title

Owner

Phone

(787) 767-5051

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adalberto Rodriguez Rivera, OD

  • Optometrist
  • San Juan, PR
  • NPI 1326007188
  Medicare reassignment NPD

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1093285215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 AVE PONCE DE LEON STE P04",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181001",
            "telephone_number": "787-767-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 AVE PONCE DE LEON STE P04",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181001",
            "telephone_number": "787-767-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTUDIO OPTOMETRICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ADALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-767-5051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodolfo Estremera-Marcial, MD
• Yazmin Estremera, M.A.
• Agustin Estronza, PSY. D.
• Estudio Caracol, LLC.
• Estudio Optometrico Cso LLC
• Estudios Quiropracticos CPS
• Euforia Cosmetics Corporation
• Angelita Eusebio
• Miriam R Eusebio
• Evaluarte, LLC.

• Optometrist in San Juan, PR
• Providers in San Juan, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.