Individual provider Active NPI

Javier M Ramirez Gonzalez, O.D.

  • Optometrist
  • San Juan, PR
National Provider Identifier
1275516148
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
364 Issued in PR
Practice address
1900 Calle Cacique
Suite #5, Ocean Park
San Juan, PR 00911-1420
Phone
(787) 925-4968
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 364 PR Primary

Addresses

Primary practice location

1900 Calle Cacique
Suite #5, Ocean Park
San Juan, PR 00911-1420

Mailing address

1900 Calle Cacique
Suite #5, Ocean Park
San Juan, PR 00911-1420
Phone (787) 925-4968

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
I20051028000202 PR Practitioner - Optometry 9537186663 Reassigns benefits to 1 organization
Practice locations: Manati, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
364PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Vision Optical Inc Optometrist CurrentSince Feb 1, 2023 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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1275516148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CALLE CACIQUE",
            "address_2": "SUITE #5, OCEAN PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111420",
            "telephone_number": "787-925-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CALLE CACIQUE",
            "address_2": "SUITE #5, OCEAN PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111420",
            "telephone_number": "787-925-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ GONZALEZ",
        "first_name": "JAVIER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.