Individual provider Active NPI

Maria Magdalena Guerrero, O.D.

  • Optometrist
  • Aguas Buenas, PR
National Provider Identifier
1205159019
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
352 Issued in PR
Practice address
Carr 156 KM 49.4
Bo. Sumidero
Aguas Buenas, PR 00703-9819
Phone
(787) 924-7777
Fax
(787) 924-7777
NPI assigned
Mar 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 352 PR Primary

Addresses

Primary practice location

Carr 156 KM 49.4
Bo. Sumidero
Aguas Buenas, PR 00703-9819

Mailing address

HC 2 Box 13307
Aguas Buenas, PR 00703-9819
Phone (787) 924-4500

Other identifiers 1

IdentifierTypeStateIssuer
FD519ZOtherPTAN

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
I20110721000410 PR Practitioner - Optometry 4981872744 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
352PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Eye-Servicios Optometricos Optometrist CurrentSince Jun 1, 2011 Accepting new patients

Locations

105 Calle Munoz Rivera
Aguas Buenas, PR 00703
Phone (787) 240-7163

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1205159019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 13307",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007039819",
            "telephone_number": "787-924-4500",
            "fax_number": "787-924-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 156 KM 49.4",
            "address_2": "BO. SUMIDERO",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007039819",
            "telephone_number": "787-924-7777",
            "fax_number": "787-924-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "MARIA",
        "middle_name": "MAGDALENA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FD519Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguas Buenas, PR

Sources for this page

Verify at the official NPI Registry.