Individual provider Active NPI

Hilda L Valle Irizarry

  • Optometrist
  • San Juan, PR
National Provider Identifier
1568500130
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
301 Issued in PR
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100327000578 PR Practitioner - Optometry 6901932086 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301PRMDSubstance Use Disorder Rehabilitation Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Vision 20/20 Inc. CurrentSince Nov 21, 2009 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.

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

Verify at the official NPI Registry.