Iris Thamara Nunez Rodriguez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

687 Issued in PR

Practice address

2906 Matomas
San Antonio Aguadillas, PR 00690-0069

Phone

(787) 356-8037

Fax

(888) 351-6173

NPI assigned

Oct 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Optiquette LLC

  • Optometrist
  • San Antonio, PR
  • NPI 1427805860
  Medicare reassignment NPD
• Vision One Corporation

  • Optometrist
  • Aguadilla, PR
  • NPI 1174184204
  NPD

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1194000638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60401",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "006909003",
            "telephone_number": "787-356-8037",
            "fax_number": "883-516-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 MATOMAS",
            "city": "SAN ANTONIO AGUADILLAS",
            "state": "PR",
            "postal_code": "006900069",
            "telephone_number": "787-356-8037",
            "fax_number": "888-351-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ RODRIGUEZ",
        "first_name": "IRIS",
        "middle_name": "THAMARA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038832402",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.

Verify at the official NPI Registry.