Individual provider Active NPI

Jose Luis Key Oyola, OD

  • Optometrist
  • Aibonito, PR
National Provider Identifier
1619961406
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
387 Issued in PR
Practice address
#3 Degetau Aibonito PR
Aibonito Optical
Aibonito, PR 00705
Phone
(787) 735-0043
Fax
(787) 735-0043
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 387 PR Primary

Addresses

Primary practice location

#3 Degetau Aibonito PR
Aibonito Optical
Aibonito, PR 00705

Mailing address

434 Calle Apeninos
San Juan, PR 00920-4127
Phone (787) 342-3555

Other identifiers 6

IdentifierTypeStateIssuer
215907OtherPRPREFERRED HEALTH
59362OtherPRTRIPLE CCC
077034OtherPRCRUZAZUL
584193488OtherPRCIGNA
7050074OtherPRHUMANC
A317OtherPRFIRST MEDICAL

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
I20050815000452 PR Practitioner - Optometry 2466482039 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
387PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cruz Optica Inc Optometrist CurrentSince Oct 9, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1619961406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 CALLE APENINOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009204127",
            "telephone_number": "787-342-3555",
            "fax_number": "787-735-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#3 DEGETAU AIBONITO PR",
            "address_2": "AIBONITO OPTICAL",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-735-0043",
            "fax_number": "787-735-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEY OYOLA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "215907",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE CCC",
            "identifier": "59362",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZAZUL",
            "identifier": "077034",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "584193488",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANC",
            "identifier": "7050074",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "A317",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

Verify at the official NPI Registry.