Active NPI
Danica Mariel Ortiz Ortiz, OD
- Optometrist
- Cabo Rojo, PR
National Provider Identifier
1184106965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 740-435
- Practice address
- 2320 Carr 100 Ste 101
Cabo Rojo, PR 00623-4458 - Phone
- (787) 254-6621
- NPI assigned
- Aug 29, 2018
- 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 | 740-435 | PR | Primary |
Addresses
Primary practice location
2320 Carr 100 Ste 101
Cabo Rojo, PR 00623-4458
Mailing address
PO Box 1192
Hormigueros, PR 00660-1192
Phone (787) 235-2240
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 |
|---|---|---|---|
| 740-435 | PR | MD | Optometrist |
| 740 | PR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyehaus Optical LLC | Optometrist | Current | Accepting new patients |
| Galeria Veinte Veinte LLC | Optometrist | Current | Accepting new patients |
| Eye Zone C.S.P | Past | Accepting new patients |
Locations
2320 Carr 100
Ste 101
Cabo Rojo, PR 00623
Phone (787) 254-6621
2320 Carr 100
Cabo Rojo, PR 00623
Phone (787) 254-6621
Organizations & group practices 3
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.
-
- Optometrist
- Mayaguez, PR
- NPI 1548157423
-
- Optometrist
- Cabo Rojo, PR
- NPI 1942895529
-
- Optician
- San Sebastian, PR
- NPI 1063784072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1184106965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1192",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "006601192",
"telephone_number": "787-235-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 CARR 100 STE 101",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "006234458",
"telephone_number": "787-254-6621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ ORTIZ",
"first_name": "DANICA",
"middle_name": "MARIEL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "740-435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cabo Rojo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.