Xaymara Martinez, OD
Individual provider Active NPI Optometrist · Orocovis, PR
NPI 1659640233 · NPPES record last updated Dec 28, 2011
Key facts
- NPI
- 1659640233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 637 (PR)
- Practice address
- Calle 4 de Julio
Orocovis, PR 00720 - Phone
- (787) 484-2166
- NPI assigned
- Dec 28, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150915001314 | PR | Practitioner - Optometry | 7911214523 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 637 | PR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 637 | PR | Yes |
Addresses
Primary practice location
Calle 4 de Julio
Orocovis, PR 00720
Mailing address
PO Box 1573
Orocovis, PR 00720-1573
Phone (787) 484-2166
Other providers in Orocovis, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.