Individual provider Active NPI

Yadira Rosario, OD

  • Optometrist
  • Naranjito, PR
National Provider Identifier
1699816702
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
555 Issued in PR
Practice address
Carr 152 KM 12.4
Bo Cedro Arriba
Naranjito, PR 00719
Phone
(787) 869-2221
Fax
(787) 869-0160
NPI assigned
Feb 9, 2007
Last updated
May 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 555 PR Primary

Addresses

Primary practice location

Carr 152 KM 12.4
Bo Cedro Arriba
Naranjito, PR 00719

Mailing address

Brisas de Montecasino
570 Caney
Toa Alta, PR 00953-0000
Phone (787) 869-2221

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
I20100723000870 PR Practitioner - Optometry 1456483551 Practice locations: Naranjito, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
555PRMDOptician
5555PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ultravision Optical Services Optometrist Past 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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1699816702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRISAS DE MONTECASINO",
            "address_2": "570 CANEY",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009530000",
            "telephone_number": "787-869-2221",
            "fax_number": "787-869-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 152 KM 12.4",
            "address_2": "BO CEDRO ARRIBA",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "787-869-2221",
            "fax_number": "787-869-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "YADIRA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.