Individual provider Active NPI

Jose A Ferrer Tanco, OD

  • Optometrist
  • Guaynabo, PR
National Provider Identifier
1184615569
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
519 Issued in PR
Practice address
C9 Calle Acuarela
Highland Gardens
Guaynabo, PR 00969-3525
Phone
(787) 708-2244
Fax
(787) 708-2244
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 519 PR Primary

Addresses

Primary practice location

C9 Calle Acuarela
Highland Gardens
Guaynabo, PR 00969-3525

Mailing address

2Gr727 Via 5
Villa Fontana
Carolina, PR 00983-3822
Phone (787) 708-2244

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
I20040609000812 PR Practitioner - Optometry 0941283139 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Ave Rafael Cordero
Caguas, PR 00725-2835
Phone (787) 653-6930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1184615569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2GR727 VIA 5",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009833822",
            "telephone_number": "787-708-2244",
            "fax_number": "787-708-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C9 CALLE ACUARELA",
            "address_2": "HIGHLAND GARDENS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693525",
            "telephone_number": "787-708-2244",
            "fax_number": "787-708-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRER TANCO",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.