Individual provider Active NPI

Jose J Loyola, Martinez

  • Optometrist
  • Fajardo, PR
National Provider Identifier
1376502419
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
529 Issued in PR
Practice address
Munoz Rivera Esq Garrido Morales #1
Fajardo, PR 00738-1723
Phone
(787) 860-1767
Fax
(787) 860-1767
NPI assigned
Mar 18, 2006
Last updated
Apr 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 529 PR Primary

Addresses

Primary practice location

Munoz Rivera Esq Garrido Morales #1
Fajardo, PR 00738-1723

Mailing address

Munoz Rivera Esq Garrido Morales #1
Fajardo, PR 00738-1723
Phone (787) 860-1767

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
I20110420000823 PR Practitioner - Optometry 7012192834 Practice locations: Fajardo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
529PRMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1376502419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MUNOZ RIVERA ESQ GARRIDO MORALES #1",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007381723",
            "telephone_number": "787-860-1767",
            "fax_number": "787-860-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUNOZ RIVERA ESQ GARRIDO MORALES #1",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007381723",
            "telephone_number": "787-860-1767",
            "fax_number": "787-860-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYOLA, MARTINEZ",
        "first_name": "JOSE",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.