Angel L Alicea Ortiz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

583 Issued in PR

Practice address

1718 Carr. 506 Marginal
Suite 101
Coto Laurel, PR 00780-2948

Phone

(787) 840-4646

Fax

(787) 840-4646

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Angel L Alicea Ortiz Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vista Clinica Visual, LLC

  • Optometrist
  • Coto Laurel, PR
  • NPI 1508339722
  NPD
• Luxottica of America Inc

  • Eyewear Supplier
  • Ponce, PR
  • NPI 1285180414
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1598837007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE ISABEL #223 MANSION REAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-840-4646",
            "fax_number": "787-840-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 CARR. 506 MARGINAL",
            "address_2": "SUITE 101",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802948",
            "telephone_number": "787-840-4646",
            "fax_number": "787-840-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA ORTIZ",
        "first_name": "ANGEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "0583",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "ALICEA ORTIZ",
            "middle_name": "L",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jesmary Albert
• Giovanni Alomar Sastre, PHD
• Edzaida Raquel Alvarado Santana
• Angelis Alvarado, MD
• Adrian Alexis Alvarez de la Campa, MD
• Flor Del R Andreu Alicea, NUTRICIONIST

• Optometrist in Coto Laurel, PR
• Providers in Coto Laurel, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.

Verify at the official NPI Registry.