Individual provider Active NPI

Zoet Blondet Castellano, O.D.

  • Optometrist
  • Toa Baja, PR
National Provider Identifier
1215192919
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
647 Issued in PR
Practice address
1593 Calle Torino
Urb. Fuentebella
Toa Baja, PR 00949
Phone
(787) 245-0079
NPI assigned
Jul 22, 2008
Last updated
Nov 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 647 PR Primary

Addresses

Primary practice location

1593 Calle Torino
Urb. Fuentebella
Toa Baja, PR 00949

Mailing address

1593 Calle Torino
Urb. Fuentebella
Toa Alta, PR 00953
Phone (787) 245-0079

Other names 1

  • Zoet Blondet Former name

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
I20100630000281 PR Practitioner - Optometry 1557492816 Practice locations: Bayamon, PR; Toa Baja, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
647PRMDChiropractor
000647PRMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1215192919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 CALLE TORINO",
            "address_2": "URB. FUENTEBELLA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-245-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1593 CALLE TORINO",
            "address_2": "URB. FUENTEBELLA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-245-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDET CASTELLANO",
        "first_name": "ZOET",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZOET",
            "last_name": "BLONDET",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.