Individual provider Active NPI

Madeleine M Lopez-Jimenez, O.D.

  • Optometrist
  • Bayamon, PR
National Provider Identifier
1184707408
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
517 Issued in PR
Practice address
B9 Calle Santa Cruz
Bayamon, PR 00961-6902
Phone
(787) 787-2500
Fax
(787) 946-5888
NPI assigned
Oct 23, 2006
Last updated
Jan 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 517 PR Primary

Addresses

Primary practice location

B9 Calle Santa Cruz
Bayamon, PR 00961-6902

Mailing address

Calle Salamanca 10-7
Torrimar
Guaynabo, PR 00966
Phone (787) 403-4877

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
I20090914000257 PR Practitioner - Optometry 7315093549 Reassigns benefits to 1 organization

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)

B9 Calle Santa Cruz
Bayamon, PR 00961-6902
Phone (787) 787-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
517PRMDSpeech-Language Pathologist
002798CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Optika LLC Optometrist CurrentSince Jun 14, 2009 Accepting new patients

Locations

B9 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 787-2500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1184707408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE SALAMANCA 10-7",
            "address_2": "TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-403-4877",
            "fax_number": "787-787-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B9 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902",
            "telephone_number": "787-787-2500",
            "fax_number": "787-946-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-JIMENEZ",
        "first_name": "MADELEINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.