Individual provider Active NPI

Myriam M Santiago, OPTICIAN

  • Optician
  • Ponce, PR
National Provider Identifier
1144363714
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
135 Issued in PR
Practice address
44 Calle Mayor
Zamora Building First Floor
Ponce, PR 00730-3728
Phone
(787) 844-8175
Fax
(787) 259-4462
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 135 PR Primary

Addresses

Primary practice location

44 Calle Mayor
Zamora Building First Floor
Ponce, PR 00730-3728

Mailing address

44 Mayor Street
Zamora Building First Floor
Ponce, PR 00730-3761
Phone (787) 844-8175

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

OrganizationSpecialtyStatusNew patients
Optica San Vicente Inc 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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144363714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MAYOR STREET",
            "address_2": "ZAMORA BUILDING FIRST FLOOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303761",
            "telephone_number": "787-844-8175",
            "fax_number": "787-259-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CALLE MAYOR",
            "address_2": "ZAMORA BUILDING FIRST FLOOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303728",
            "telephone_number": "787-844-8175",
            "fax_number": "787-259-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "MYRIAM",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.