Active NPI
Laura Marie Del Valle Perez, OD
- Optometrist
- Isabela, PR
National Provider Identifier
1730899543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046011709
- Practice address
- 3241 Ave Militar
Isabela, PR 00662-4091 - Phone
- (787) 830-9000
- NPI assigned
- Dec 2, 2022
- Last updated
- Jun 6, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 046011709 | IL | Primary |
Addresses
Primary practice location
3241 Ave Militar
Isabela, PR 00662-4091
Mailing address
3241 Ave Militar
Isabela, PR 00662-4091
Other practice location 1
7610 Roosevelt Rd Ste 5
Forest Park, IL 60130-2295
Phone (708) 366-9278
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046011709 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Migrant Health Center Western Region, Inc. | Current | Accepting new patients | |
| Optical Supercenter Arecibo Corp | Optometrist | Current | Accepting new patients |
| Vision One Corporation | Optometrist | Current | Accepting new patients |
| Migrant Health Center Western Region,Inc | Current | Accepting new patients | |
| Migrant Health Center Western Region, Inc. | Optometrist | Current | Accepting new patients |
| Migrant Health Center Western Region, Inc. | Past | Accepting new patients |
Locations
88 Calle Cordoba
Aguadilla, PR 00603
Phone (787) 830-9000
3241 Ave Militar
Isabela, PR 00662
Phone (787) 827-8101
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Mayaguez, PR
- NPI 1609969286
-
- Clinic Pharmacy
- Yauco, PR
- NPI 1093262297
-
- Migrant Health Clinic/Center
- Mayaguez, PR
- NPI 1861864977
Optometrist
-
- Radiology Clinic/Center
- Las Marias, PR
- NPI 1508453051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1730899543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3241 AVE MILITAR",
"city": "ISABELA",
"state": "PR",
"postal_code": "006624091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3241 AVE MILITAR",
"city": "ISABELA",
"state": "PR",
"postal_code": "006624091",
"telephone_number": "787-830-9000"
}
],
"practiceLocations": [
{
"address_1": "7610 Roosevelt Rd Ste 5",
"address_purpose": "LOCATION",
"city": "Forest Park",
"state": "IL",
"postal_code": "601302295",
"country_code": "US",
"telephone_number": "708-366-9278",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEL VALLE PEREZ",
"first_name": "LAURA",
"middle_name": "MARIE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-02",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046011709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.