Active NPI
Manuel A Conde, O.D.
- Optometrist
- San Juan, PR
National Provider Identifier
1720189855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 273
- Practice address
- Eleanor Roosevelt St
# 118
San Juan, PR 00919 - Phone
- (787) 765-1915
- Fax
- (787) 765-9854
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 273 | PR | Primary |
Addresses
Primary practice location
Eleanor Roosevelt St
# 118
San Juan, PR 00919
Mailing address
500 John Will Harris Rd.
Bayamon, PR 00956
Phone (787) 765-1915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1720189855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 JOHN WILL HARRIS RD.",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-765-1915",
"fax_number": "787-765-9854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ELEANOR ROOSEVELT ST",
"address_2": "# 118",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00919",
"telephone_number": "787-765-1915",
"fax_number": "787-765-9854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDE",
"first_name": "MANUEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.