Active NPI
Dr. Jose Santisteban Optometra del Desarrollo PSC
- Optometrist
- San Sebastian, PR
National Provider Identifier
1326114570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 159
- Legal business name
- DR. JOSE SANTISTEBAN OPTOMETRA DEL DESARROLLO PSC
- Practice address
- # 1003 Ave. Emerito Estrada Rivera
Suite 7
San Sebastian, PR 00685 - Phone
- (787) 896-1868
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose Santisteban, O.D.
- Title
- Optometrist
- Phone
- (787) 896-1868
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 159 | PR | Primary |
Addresses
Primary practice location
# 1003 Ave. Emerito Estrada Rivera
Suite 7
San Sebastian, PR 00685
Mailing address
P.O. Box 1648
San Sebastian, PR 00685-1648
Phone (787) 896-1868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1003 Ave Emerito Estrada
Ste 7
San Sebastian, PR 00685
Phone (787) 896-1868
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- San Sebastian, PR
- NPI 1134295785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390348800000",
"number": "1326114570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1648",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006851648",
"telephone_number": "787-896-1868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "# 1003 AVE. EMERITO ESTRADA RIVERA",
"address_2": "SUITE 7",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "00685",
"telephone_number": "787-896-1868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JOSE SANTISTEBAN OPTOMETRA DEL DESARROLLO PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2014-01-22",
"status": "A",
"authorized_official_last_name": "SANTISTEBAN",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "787-896-1868",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PR",
"license": "159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.