NPIMap

Organization Active NPI

Jalou Inc

Doing business as the visual corner

  • Optometrist
  • San Juan, PR
National Provider Identifier
1316262397
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JALOU INC
Doing business as
the visual corner
Practice address
Ave.Ponce de Leon 735, Suite 25
Torre Medica Auxilio Mutuo
San Juan, PR 00917
Phone
(787) 767-4200
Fax
(787) 767-4200
NPI assigned
Apr 1, 2010
Last updated
May 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Dr. Maria L Gonzalez, O.D.NPI 1396913125
Title
Vice-President
Phone
(787) 767-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X PR Primary

Addresses

Primary practice location

Ave.Ponce de Leon 735, Suite 25
Torre Medica Auxilio Mutuo
San Juan, PR 00917

Mailing address

Ave.Ponce de Leon 735, Ste 25
Torre Medica Auxilio Mutuo
San Juan, PR 00917
Phone (787) 767-4200

Other names 1

  • the visual corner Doing business as

National Provider Directory

National Provider Directory

Locations

735 Ave Ponce de Leon
Ste 25
San Juan, PR 00917
Phone (787) 579-7726

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1316262397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE.PONCE DE LEON 735, STE 25",
            "address_2": "TORRE MEDICA AUXILIO MUTUO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-767-4200",
            "fax_number": "787-767-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE.PONCE DE LEON 735, SUITE 25",
            "address_2": "TORRE MEDICA AUXILIO MUTUO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-767-4200",
            "fax_number": "787-767-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JALOU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "787-767-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the visual corner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.