Cynthia E Villalobos Ortiz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

310 Issued in PR

Practice address

#61 Avenida Garrido Morales
Fajardo, PR 00738

Phone

(787) 860-4090

Fax

(787) 863-5515

NPI assigned

Mar 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• My Optical Factory LLC

  • Corneal and Contact Management Optometrist
  • Fajardo, PR
  • NPI 1518580943
  Medicare reassignment NPD

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1710956339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1400",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007381400",
            "telephone_number": "787-860-4090",
            "fax_number": "787-863-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#61 AVENIDA GARRIDO MORALES",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-4090",
            "fax_number": "787-863-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS ORTIZ",
        "first_name": "CYNTHIA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Ivette Vidal, M.D.
• Vidaserene Counseling, LLC
• Joyce Liz Viera, OTL
• Luce Villafane Carmona
• Jesus Manuel Villafane, M.D.
• Richard Anthony Vito, M.D., FACEP
• Francisco J Vizcarrondo, MD
• Wal-Mart Puerto Rico Inc (Wal-Mart Pharmacy)
• Wal-Mart Puerto Rico Inc (Walmart Vision Center 30-1822)
• Wal-Mart Puerto Rico Inc (Walmart Pharmacy 10-1822)

• Optometrist in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.