Modo Optico LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

MODO OPTICO LLC

Practice address

Palmas de Cerro Gordo Calle Real
G-34
Vega Alta, PR 00692

Phone

(939) 405-4799

NPI assigned

Jan 26, 2022

Last updated

Jan 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Monica Santiago

Title

President

Phone

(939) 405-4799

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Modo Optico LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Modo Optico LLC

  • Eyewear Supplier
  • Toa Baja, PR
  • NPI 1477209690
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda Marie Segarra Morales, OD

  • Optometrist
  • San Juan, PR
  • NPI 1386380087
  NPD (past)

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1215689740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006461849",
            "telephone_number": "939-405-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PALMAS DE CERRO GORDO CALLE REAL",
            "address_2": "G-34",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "939-405-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODO OPTICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-16",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-405-4799"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "modooptico2020@gmail.com",
            "affiliation": "N",
            "address_1": "Palmas de Cerro Gordo Calle Real",
            "address_2": "G-34",
            "city": "Vega Alta",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eilinee Miranda Candelario
• Gloria M Miranda, R.P.T.
• Guinnevere Miranda
• Lida Orialis Miranda, PHARMACYTECHNICIAN
• Manuel Angel Miranda, PHARMACIST
• Monte Mar Health Corporation (Monte Mar Medical)
• Richard Javier Montes Sanabria, M.S.
• Karla Coral Morales Lopez
• Juan Ricardo Morales Sr.
• Milton E Morales, MD,FACS

• Optician in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• Optician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.