Individual provider Active NPI

Johanna Loyola Martinez, O.D.

  • Optometrist
  • Caguas, PR
National Provider Identifier
1184713158
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
297 Issued in PR
Practice address
16 Paseo Gautier Benitez
Optica Loyola
Caguas, PR 00725
Phone
(787) 744-4020
Fax
(787) 744-4020
NPI assigned
Oct 11, 2006
Last updated
Mar 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 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 297 PR Primary

Addresses

Primary practice location

16 Paseo Gautier Benitez
Optica Loyola
Caguas, PR 00725

Mailing address

207 Camino de la Loma
Sabanera
Cidra, PR 00739-9480
Phone (787) 485-8161

Other identifiers 5

IdentifierTypeStateIssuer
50487OtherPRPREFERRED MDICARE CHOICE
58110OtherPRTRIPLE S
660618410OtherPRMCS
7250354OtherPRHUMANA INS.
051662OtherPRLA CRUZ AZUL

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
I20041108000732 PR Practitioner - Optometry 4284697566 Practice locations: Caguas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
297PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1184713158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CAMINO DE LA LOMA",
            "address_2": "SABANERA",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007399480",
            "telephone_number": "787-485-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PASEO GAUTIER BENITEZ",
            "address_2": "OPTICA LOYOLA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-4020",
            "fax_number": "787-744-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYOLA MARTINEZ",
        "first_name": "JOHANNA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MDICARE CHOICE",
            "identifier": "50487",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "58110",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "660618410",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INS.",
            "identifier": "7250354",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL",
            "identifier": "051662",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.