Active NPI
Zaira Teresa Olivencia Henriquez, OD
- Optometrist
- San Sebastian, PR
National Provider Identifier
1164843744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 714
- Practice address
- 281 Calle Ruiz Belvis
San Sebastian, PR 00685-2335 - Phone
- (787) 896-7040
- NPI assigned
- Dec 26, 2013
- Last updated
- Feb 25, 2020
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 714 | PR | Primary |
Addresses
Primary practice location
281 Calle Ruiz Belvis
San Sebastian, PR 00685-2335
Mailing address
Urb .Repto. Universidad Calle 4 L 24
San German, PR 00683-3831
Phone (787) 677-4074
Other practice location 1
975 Ave Hostos Ste 2021
Mayaguez, PR 00680-1259
Phone (787) 677-4074
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 714 | PR | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ojos Centro Optico LLC | Optometrist | Current | Accepting new patients |
| Yolanda Rodriguez Morales | Past | Accepting new patients |
Locations
281 Calle Ruiz Belvis
San Sebastian, PR 00685
Phone (787) 896-7040
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.
-
- Optometrist
- San Sebastian, PR
- NPI 1649761867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1164843744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB .REPTO. UNIVERSIDAD CALLE 4 L 24",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006833831",
"telephone_number": "787-677-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 CALLE RUIZ BELVIS",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006852335",
"telephone_number": "787-896-7040"
}
],
"practiceLocations": [
{
"address_1": "975 Ave Hostos Ste 2021",
"address_purpose": "LOCATION",
"city": "Mayaguez",
"state": "PR",
"postal_code": "006801259",
"country_code": "US",
"telephone_number": "787-677-4074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVENCIA HENRIQUEZ",
"first_name": "ZAIRA",
"middle_name": "TERESA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-26",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.