Individual provider Active NPI

Maria A Rodriguez, O.D.

  • Optometrist
  • San Juan, PR
National Provider Identifier
1285933218
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
334 Issued in PR
Practice address
525 Ave FD Roosevelt
Ste 140
San Juan, PR 00918-8020
Phone
(787) 777-0990
Fax
(787) 274-0747
NPI assigned
Mar 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 334 PR Primary

Addresses

Primary practice location

525 Ave FD Roosevelt
Ste 140
San Juan, PR 00918-8020

Mailing address

PO Box 1615
Lajas, PR 00667-1615
Phone (787) 519-7313

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
I20110831000485 PR Practitioner - Optometry 5991975922 Reassigns benefits to 1 organization
Practice locations: Hato Rey, PR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Plaza Las Americas
Suite 186
San Juan, PR 00918-8001
Phone (787) 777-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HPM Foundation Inc CurrentSince Nov 30, 2018 Accepting new patients
HPM Foundation Inc Current Accepting new patients
HPM Foundation Inc CurrentSince Nov 30, 2018 Accepting new patients

Locations

2020 Ave Borinquen
Santurce, PR 00915

Organizations & group practices 3

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": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1285933218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1615",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006671615",
            "telephone_number": "787-519-7313",
            "fax_number": "787-274-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT",
            "address_2": "STE 140",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188020",
            "telephone_number": "787-777-0990",
            "fax_number": "787-274-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.