Individual provider Active NPI

Nayip Rodriguez Pellicier, OD

  • Optometrist
  • Cabo Rojo, PR
National Provider Identifier
1376556845
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
553 Issued in PR
Practice address
34 Calle Barbosa
Cabo Rojo, PR 00623-3511
Phone
(787) 851-3800
Fax
(787) 851-3800
NPI assigned
Aug 14, 2006
Last updated
Aug 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 553 PR Primary

Addresses

Primary practice location

34 Calle Barbosa
Cabo Rojo, PR 00623-3511

Mailing address

PO Box 1332
Cabo Rojo, PR 00623-1332
Phone (787) 691-3800

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
I20031111000014 PR Practitioner - Optometry 6608789151 Practice locations: Cabo Rojo, PR; Sabana Grande, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
553PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Vision Cabo Rojo Inc. Optometrist Past Accepting new patients
Centro Vision Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1376556845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1332",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006231332",
            "telephone_number": "787-691-3800",
            "fax_number": "787-851-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CALLE BARBOSA",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233511",
            "telephone_number": "787-851-3800",
            "fax_number": "787-851-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ PELLICIER",
        "first_name": "NAYIP",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.