Individual provider Active NPI

Manuel Sanchez Ortiz, OD

  • Optometrist
  • Guaynabo, PR
National Provider Identifier
1659425965
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
121 Issued in PR
Practice address
1357 Ave Luis Vigoreaux
Guaynabo, PR 00966-2700
Phone
(787) 783-8030
NPI assigned
Jan 23, 2007
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 121 PR Primary

Addresses

Primary practice location

1357 Ave Luis Vigoreaux
Guaynabo, PR 00966-2700

Mailing address

27 Calle Caoba
San Juan, PR 00913-4720
Phone (787) 783-8030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121PRMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Designers Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

1357 Ave Luis Vigoreaux
Guaynabo, PR 00966
Phone (787) 783-8030

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1659425965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CALLE CAOBA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009134720",
            "telephone_number": "787-783-8030",
            "fax_number": "787-723-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 AVE LUIS VIGOREAUX",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662700",
            "telephone_number": "787-783-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ ORTIZ",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.