Individual provider Active NPI

Frances L Sotomayor Rodriguez, DO

  • Optometrist
  • Ponce, PR
National Provider Identifier
1336323161
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
492 Issued in PR
Practice address
450 Calle Ferrocarril Ste 102
Ponce, PR 00717-4105
Phone
(787) 651-6001
Fax
(787) 651-6002
NPI assigned
Dec 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 492 PR Primary

Addresses

Primary practice location

450 Calle Ferrocarril Ste 102
Ponce, PR 00717-4105

Mailing address

450 Calle Ferrocarril Ste 102
Ponce, PR 00717-4105
Phone (787) 651-6001

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
I20240315003682 PR Practitioner - Optometry 6901242676 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
492PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
C-Eye Optical CurrentSince Mar 5, 2024 Accepting new patients

Locations

450 Calle Ferrocarril
Ste 102
Ponce, PR 00717
Phone (787) 403-8711

Organizations & group practices 1

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1336323161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CALLE FERROCARRIL STE 102",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007174105",
            "telephone_number": "787-651-6001",
            "fax_number": "787-651-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CALLE FERROCARRIL STE 102",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007174105",
            "telephone_number": "787-651-6001",
            "fax_number": "787-651-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOMAYOR RODRIGUEZ",
        "first_name": "FRANCES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.