Active NPI
Hilda L Valle Irizarry
- Optometrist
- San Juan, PR
National Provider Identifier
1568500130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 301
- Practice address
- Urb San Agustin
Calle Maximo Alomar 1175
San Juan, PR 00923-0092 - Phone
- (787) 726-3174
- NPI assigned
- Feb 3, 2007
- Last updated
- Sep 24, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 301 | PR | Primary |
Addresses
Primary practice location
Urb San Agustin
Calle Maximo Alomar 1175
San Juan, PR 00923-0092
Mailing address
13 Chalets de Santa Maria
San Juan, PR 00927-6635
Phone (939) 644-8319
Other practice location 1
2050 Ave Borinquen
Santurce, PR 00915-3818
Phone (787) 726-3174
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301 | PR | MD | Substance Use Disorder Rehabilitation Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision 20/20 Inc. | Current | Accepting new patients |
Locations
1175 Calle Maximo Alomar
San Juan, PR 00923
Phone (787) 726-3174
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Eyewear Supplier
- Santurce, PR
- NPI 1023266616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1568500130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 CHALETS DE SANTA MARIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276635",
"telephone_number": "939-644-8319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB SAN AGUSTIN",
"address_2": "CALLE MAXIMO ALOMAR 1175",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009230092",
"telephone_number": "787-726-3174"
}
],
"practiceLocations": [
{
"address_1": "2050 Ave Borinquen",
"address_purpose": "LOCATION",
"city": "Santurce",
"state": "PR",
"postal_code": "009153818",
"country_code": "US",
"telephone_number": "787-726-3174",
"fax_number": "787-268-4707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALLE IRIZARRY",
"first_name": "HILDA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-03",
"last_updated": "2021-09-24",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "301",
"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 Sep 24, 2021; 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.