Organization Active NPI

Estudio Optometrico Cso LLC

  • Optometrist
  • San Juan, PR
National Provider Identifier
1386114494
Registry record updated Dec 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ESTUDIO OPTOMETRICO CSO LLC
Practice address
1492 Ave Ponce de Leon Ste 108
San Juan, PR 00907-4008
Phone
(787) 723-2253
Fax
(787) 724-0163
NPI assigned
Dec 1, 2018
Last updated
Dec 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2018

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

Authorized official

Name
Dr. Alejandro G Rodriguez, ODNPI 1174569404
Title
Owner
Phone
(787) 723-2253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1492 Ave Ponce de Leon Ste 108
San Juan, PR 00907-4008

Mailing address

1492 Ave Ponce de Leon Ste 108
San Juan, PR 00907-4008
Phone (787) 723-2253

National Provider Directory

National Provider Directory

Locations

1492 Ave Ponce de Leon
Ste 108
San Juan, PR 00907
Phone (787) 723-2253

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543622400000",
    "number": "1386114494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 AVE PONCE DE LEON STE 108",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074008",
            "telephone_number": "787-723-2253",
            "fax_number": "787-724-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 AVE PONCE DE LEON STE 108",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074008",
            "telephone_number": "787-723-2253",
            "fax_number": "787-724-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTUDIO OPTOMETRICO CSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-01",
        "last_updated": "2018-12-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-723-2253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2018; 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.