Individual provider Active NPI

Isamalish Espino Torres, OD

  • Optometrist
  • Bayamon, PR
National Provider Identifier
1235777202
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000744 Issued in PR
Practice address
3009 Ave Ramon Luis Rivera
Bayamon, PR 00956-9214
Phone
(787) 279-8137
NPI assigned
Dec 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 000744 PR Primary

Addresses

Primary practice location

3009 Ave Ramon Luis Rivera
Bayamon, PR 00956-9214

Mailing address

208 Parque Terralinda
Trujillo Alto, PR 00976-4061
Phone (939) 383-8183

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
I20200210001080 PR Practitioner - Optometry 9032545132 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
744PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eyevision Gallery LLC Optometrist CurrentSince Jul 7, 2021 Accepting new patients

Locations

35 Ave Esmeralda
Guaynabo, PR 00969
Phone (787) 720-1667

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": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1235777202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PARQUE TERRALINDA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009764061",
            "telephone_number": "939-383-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 AVE RAMON LUIS RIVERA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569214",
            "telephone_number": "787-279-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINO TORRES",
        "first_name": "ISAMALISH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "000744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.