Individual provider Active NPI

Chaimarie Diaz Gonzalez

  • Eyewear Supplier
  • Ponce, PR
National Provider Identifier
1285272898
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Practice address
Santa Maria Medical Building
Suite 102 Ave. Ferrocarril
Ponce, PR 00718
Phone
(787) 403-8711
NPI assigned
Dec 13, 2019
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X PR Primary

Addresses

Primary practice location

Santa Maria Medical Building
Suite 102 Ave. Ferrocarril
Ponce, PR 00718

Mailing address

HC 2 Box 5395
Penuelas, PR 00624-9692
Phone (787) 403-8711

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL chaimarieoptical@gmail.com Health Information Exchange (HIE)
CONNECT URL chaiimarieoptical@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
C-Eye Optical Eyewear Supplier Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1285272898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 5395",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006249692",
            "telephone_number": "787-403-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA MARIA MEDICAL BUILDING",
            "address_2": "SUITE 102 AVE. FERROCARRIL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00718",
            "telephone_number": "787-403-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ GONZALEZ",
        "first_name": "CHAIMARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chaimarieoptical@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "Santa Maria Medical Building",
            "address_2": "Suite 102 Ave. Ferrocarril",
            "city": "Ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chaiimarieoptical@gmail.com",
            "affiliation": "N",
            "address_1": "Santa Maria Medical Building",
            "address_2": "Suite 102 Ave. Ferrocarril",
            "city": "Ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.