Individual provider Active NPI

Doris Margarita Antunez, O.D.

  • Corneal and Contact Management Optometrist
  • Catano, PR
National Provider Identifier
1689865545
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
126 Issued in PR
Practice address
MG56 Plaza 31
Marina Bahia
Catano, PR 00962-6778
Phone
(787) 390-2490
Fax
(787) 788-3798
NPI assigned
Aug 6, 2007
Last updated
Aug 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 126 PR Primary

Addresses

Primary practice location

MG56 Plaza 31
Marina Bahia
Catano, PR 00962-6778

Mailing address

MG56 Plaza 31
Marina Bahia
Catano, PR 00962-6778
Phone (787) 390-2490

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
I20101115001119 PR Practitioner - Optometry 4082809173 Practice locations: Dorado, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optilook PastSince Nov 3, 2009 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, 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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1689865545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MG56 PLAZA 31",
            "address_2": "MARINA BAHIA",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "009626778",
            "telephone_number": "787-390-2490",
            "fax_number": "787-788-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MG56 PLAZA 31",
            "address_2": "MARINA BAHIA",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "009626778",
            "telephone_number": "787-390-2490",
            "fax_number": "787-788-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTUNEZ",
        "first_name": "DORIS",
        "middle_name": "MARGARITA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PR",
            "license": "126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catano, PR

Sources for this page

Verify at the official NPI Registry.