Osvaldo Carriles

Primary specialty

OptometristTaxonomy code 152W00000X

License

09445575 Issued in PR

Practice address

St Munoz Rivera #157
San Lorenzo, PR 00754

Phone

(787) 736-6649

Fax

(787) 715-6649

NPI assigned

Jul 25, 2006

Last updated

Mar 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Lanes Enterprises Inc

  dba DBA Optical Zone

  • Optometrist
  • Trujillo Alto, PR
  • NPI 1295109239
  NPD (past) Authorized official
• Optometry World

  • Optometrist
  • San Lorenzo, PR
  • NPI 1891756268
  NPD (past) Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1376566240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1151",
            "address_2": "OPTOMETRY WORLD",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771151",
            "telephone_number": "787-755-7077",
            "fax_number": "787-283-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST MUNOZ RIVERA #157",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-736-6649",
            "fax_number": "787-715-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILES",
        "first_name": "OSVALDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "09445575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Cermira Rivera Marcano (Laboratorio Licer Universal)
• Adrianna Gabriela Caro
• Cristina N. Caro, DMD
• Jose H Carrasco, PHARM D
• Gabriel Jomar Carrera
• Valerie Carrion
• Cemi Ambulance System Corp.
• Centro de Imagenes Sonograficas
• Centro de Vacunacion del Noroeste, Inc.
• Centro Ryder San Lorenzo

• Optometrist in San Lorenzo, PR
• Providers in San Lorenzo, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.