Dra Isabel Mendez Martir Optometra PSC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2102040 Issued in PR

Legal business name

DRA ISABEL MENDEZ MARTIR OPTOMETRA PSC

Practice address

Rio Hondo Mall Local 33B
Bayamon, PR 00960

Phone

(787) 261-5547

Fax

(787) 261-4896

NPI assigned

May 16, 2014

Last updated

May 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Isabel Mendez

Title

President

Phone

(787) 261-5547

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Isabel Mendez Martir, O.D.

  • Optometrist
  • Bayamon, PR
  • NPI 1154404044
  Medicare reassignment NPD

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1730590316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 CALLE HORTENSIA",
            "address_2": "URB MANSIONES DE RIO PIEDRAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267209",
            "telephone_number": "787-261-5547",
            "fax_number": "787-261-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIO HONDO MALL LOCAL 33B",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-261-5547",
            "fax_number": "787-261-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA ISABEL MENDEZ MARTIR OPTOMETRA PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-261-5547",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "2102040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.