Individual provider Active NPI

Sorivett Cotto Rosario, OD

  • Optometrist
  • Caguas, PR
National Provider Identifier
1144265331
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
405 Issued in PR
Practice address
200 Grand Blvd Los Prados Ste 780
Caguas, PR 00727-9533
Phone
(787) 703-0799
Fax
(787) 905-7335
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 405 PR Primary

Addresses

Primary practice location

200 Grand Blvd Los Prados Ste 780
Caguas, PR 00727-9533

Mailing address

200 Grand Blvd Los Prados Ste 780
Caguas, PR 00727-9533
Phone (787) 703-0799

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
I20031113000065 PR Practitioner - Optometry 8729992953 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Grand Blvd Los Prados
Suite 780
Caguas, PR 00727-9533
Phone (787) 703-0799

Los Prados Mall Boulevard
Los Prados Suite 780
Caguas, PR 00727-9533
Phone (787) 703-0799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
405PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
SCR Empresas Visuales, PSC Past Accepting new patients

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1144265331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GRAND BLVD LOS PRADOS STE 780",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007279533",
            "telephone_number": "787-703-0799",
            "fax_number": "787-905-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRAND BLVD LOS PRADOS STE 780",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007279533",
            "telephone_number": "787-703-0799",
            "fax_number": "787-905-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTO ROSARIO",
        "first_name": "SORIVETT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.