Pedro Juan Martinez

Primary specialty

OpticianTaxonomy code 156FX1800X

License

#416 Issued in PR

Practice address

Calle Paraguay 318 Urb El Prado
San Juan, PR 00917-4029

Phone

(787) 674-4460

NPI assigned

Nov 23, 2010

Last updated

Nov 23, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• B&J Optical Boutique Inc.

  • Optician
  • San Juan, PR
  • NPI 1699070003
  NPD (past) Authorized official

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1366744427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 CALLE PARAGUAY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009174029",
            "telephone_number": "787-674-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PARAGUAY 318 URB EL PRADO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009174029",
            "telephone_number": "787-674-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "PEDRO",
        "middle_name": "JUAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "416",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "#416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Marie Martinez, LPC M.ED.
• Neyla Marie Martinez, PHARM.D.
• Neysa M Martinez
• Pedro Martinez, PHARMACIST PH
• Pedro Jose Martinez, MD
• Rafael Antonio Martinez, M.D.
• Ronaldo L Martinez
• Rosa M Martinez
• Rosa Maria Martinez, DMD
• Ruth Esther Martinez, BA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.