Debbie Ann Medina Gonzalez, OPTHOMETRIC, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

640 Issued in PR

Practice address

Edificio Medical Emporium Suite 107
Mayaguez, PR 00680

Phone

(787) 834-2627

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1346328010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIFICIO MEDICAL EMPORIUM SUITE 107",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO MEDICAL EMPORIUM SUITE 107",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-2627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cond. El Castillo",
            "address_2": "Suite 501 Carr. 102 KM.0.1 No. 450",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "00682",
            "country_code": "US",
            "telephone_number": "787-765-5371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA GONZALEZ",
        "first_name": "DEBBIE",
        "middle_name": "ANN",
        "credential": "OPTHOMETRIC, O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orelbe Mederos Broche, MD
• Medical Express Corp
• Medical Quality Inc
• Medicina Preventiva del Oeste
• Gerardo J Medina Caban, MD
• Kimberly Medina Morales
• Angel Medina Torres
• Cesar A Medina-Diaz, PSY.D., M.A.
• Angel Rolando Medina, MD
• Benjamin Medina, MD

• Optometrist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.