Individual provider Active NPI

Carlos J Rodriguez Torres, O.D.

  • Optometrist
  • Manati, PR
National Provider Identifier
1255435491
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
335 Issued in PR
Practice address
Calle Marginal a-4
Urb. San Salvador
Manati, PR 00674-0990
Phone
(787) 854-5151
Fax
(787) 854-5443
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 335 PR Primary

Addresses

Primary practice location

Calle Marginal a-4
Urb. San Salvador
Manati, PR 00674-0990

Mailing address

PO Box 990
Manati, PR 00674-0990
Phone (787) 854-5151

Other identifiers 4

IdentifierTypeStateIssuer
660576683-2OtherPRMCS ID
077124OtherPRCRUZ AZUL
6740129OtherPRHUMANA
58139OtherPRSSS REFORMA

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
I20180302001603 PR Practitioner - Optometry 2769743913 Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

A4 Calle Marginal
Manati, PR 00674-4959
Phone (787) 854-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
335PRMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Sociedad Ortiz-Annexy Gastroenterologia Past Accepting new patients

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255435491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740990",
            "telephone_number": "787-854-5151",
            "fax_number": "787-854-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MARGINAL A-4",
            "address_2": "URB. SAN SALVADOR",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740990",
            "telephone_number": "787-854-5151",
            "fax_number": "787-854-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ TORRES",
        "first_name": "CARLOS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS ID",
            "identifier": "660576683-2",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "077124",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6740129",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS REFORMA",
            "identifier": "58139",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.