Active NPI
Wanda Sangiovanni-Almonte, O.D.
- Optometrist
- San Juan, PR
National Provider Identifier
1508916560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 570
- Practice address
- Ilori Optical
525 Ave FD Roosevelt
San Juan, PR 00918 - Phone
- (787) 766-1872
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 570 | PR | Primary |
Addresses
Primary practice location
Ilori Optical
525 Ave FD Roosevelt
San Juan, PR 00918
Mailing address
Ilori Optical Plaza Las Americas Mall
525 Ave FD Roosevelt
San Juan, PR 00918
Phone (787) 766-1872
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160512000256 | PR | Practitioner - Optometry | 1153428883 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Optic Shop | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- San Juan, PR
- NPI 1295160125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1508916560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ILORI OPTICAL PLAZA LAS AMERICAS MALL",
"address_2": "525 AVE FD ROOSEVELT",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-766-1872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ILORI OPTICAL",
"address_2": "525 AVE FD ROOSEVELT",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-766-1872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANGIOVANNI-ALMONTE",
"first_name": "WANDA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "570",
"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 Feb 3, 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.