Active NPI
Daniel J. Martinez, OPTICIAN
- Optician
- Carolina, PR
National Provider Identifier
1396044111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 572
- Practice address
- Via 14
2 JL #453 Villa Fontana
Carolina, PR 00983 - Phone
- (787) 607-0701
- NPI assigned
- Mar 18, 2011
- Last updated
- Mar 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 572 | PR | Primary |
Addresses
Primary practice location
Via 14
2 JL #453 Villa Fontana
Carolina, PR 00983
Mailing address
Via 14 2JL #453 Villa Fontana
Carolina, PR 00983
Phone (787) 607-0701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 572 | PR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1396044111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VIA 14 2JL #453 VILLA FONTANA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-607-0701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VIA 14",
"address_2": "2 JL #453 VILLA FONTANA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-607-0701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "DANIEL",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-18",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.