Adalberto Rodriguez Rivera, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

134 Issued in PR

Practice address

208 Ave Ponce de Leon Ste P04
San Juan, PR 00918-1001

Phone

(787) 767-5051

Fax

(787) 282-6597

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Estudio Optometrico LLC

  • Optometrist
  • San Juan, PR
  • NPI 1093285215
  Medicare reassignment NPD
• Dr. Adalberto Rodriguez

  • Eyewear Supplier
  • San Juan, PR
  • NPI 1194866566

  Optometrist

  NPD (past) Authorized official
• Estudio Optometrico Cso LLC

  • Optometrist
  • San Juan, PR
  • NPI 1386114494
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1326007188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 AVE PONCE DE LEON STE P04",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181001",
            "telephone_number": "787-767-5051",
            "fax_number": "787-282-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 AVE PONCE DE LEON STE P04",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181001",
            "telephone_number": "787-767-5051",
            "fax_number": "787-282-6597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1492 Ave Ponce De Leon",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00907",
            "country_code": "US",
            "telephone_number": "787-723-2253",
            "fax_number": "787-724-0163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ RIVERA",
        "first_name": "ADALBERTO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PR",
            "license": "134",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio J Rodriguez Quinones, M.D.
• Melba Rodriguez Ramos
• Roberto Jose Rodriguez Ramos
• Victor Andres Rodriguez Rapale
• Sheyla Esperanza Rodriguez Riera
• Angel Miguel Rodriguez Rivera, M.D,
• Ayuburi Rodriguez Rivera, PHARMD
• Emmanuel Jose Rodriguez Rivera
• Kenneth Josue Rodriguez Rivera, MD
• Luis Alberto Rodriguez Rivera, M.D.

• Optometrist in San Juan, PR
• Providers in San Juan, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.