Individual provider Active NPI

Yanixia V Borri Lajara, O.D.

  • Optometrist
  • Guaynabo, PR
National Provider Identifier
1679691851
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00218 Issued in PR
Practice address
9-17 Calle Malaga
Guaynabo, PR 00966-3131
Phone
(787) 396-4926
NPI assigned
Mar 27, 2007
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 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 00218 PR Primary

Addresses

Primary practice location

9-17 Calle Malaga
Guaynabo, PR 00966-3131

Mailing address

9-17 Calle Malaga
Guaynabo, PR 00966-3131
Phone (787) 396-4926

Other names 1

  • Yanixia V Borri Lajara Former name

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
I20170612002601 PR Practitioner - Optometry 0547538753 Practice locations: Bayamon, PR; San Juan, PR; Toa Baja, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00218PRMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1679691851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9-17 CALLE MALAGA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663131",
            "telephone_number": "787-396-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9-17 CALLE MALAGA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663131",
            "telephone_number": "787-396-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRI LAJARA",
        "first_name": "YANIXIA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "00218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANIXIA",
            "last_name": "BORRI LAJARA",
            "middle_name": "V",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.