Individual provider Active NPI

Melissa Margarita Martinez Rivera, OD

  • Optometrist
  • Isabela, PR
National Provider Identifier
1649994468
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
761 Issued in PR
Practice address
3241 Ave Militar
Isabela, PR 00662-4091
Phone
(787) 830-9000
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 761 PR Primary

Addresses

Primary practice location

3241 Ave Militar
Isabela, PR 00662-4091

Mailing address

HC 3 Box 31301
Aguada, PR 00602-9754
Phone (787) 359-7745

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
I20230428002095 PR Practitioner - Optometry 6305201245 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
761PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Supercenter Arecibo Corp Optometrist CurrentSince May 3, 2023 Accepting new patients
Vision One Corporation Optometrist CurrentSince Mar 1, 2023 Accepting new patients

Locations

88 Calle Cordoba
Aguadilla, PR 00603
Phone (787) 830-9000

3241 Ave Militar
Isabela, PR 00662
Phone (787) 827-8101

Organizations & group practices 2

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": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1649994468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 31301",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029754",
            "telephone_number": "787-359-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 AVE MILITAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624091",
            "telephone_number": "787-830-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ RIVERA",
        "first_name": "MELISSA",
        "middle_name": "MARGARITA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.