Individual provider Active NPI

Linnette M De Jesus Ramos, O.D.

  • Optometrist
  • Carolina, PR
National Provider Identifier
1770908352
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
500 Issued in PR
Practice address
506 Blvd Media Luna Apt 602
Carolina, PR 00987-4988
Phone
(787) 750-0068
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 500 PR Primary

Addresses

Primary practice location

506 Blvd Media Luna Apt 602
Carolina, PR 00987-4988

Mailing address

506 Blvd Media Luna Apt 602
Carolina, PR 00987-4988
Phone (787) 750-0068

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
I20190510000792 PR Practitioner - Optometry 7911240163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mandm Optical Shop CorpGroup PAC ID 9830240464, 4 clinicians

Practice addresses (Care Compare)

1900 Ave J T Pinero
San Juan, PR 00920
Phone (787) 782-2175

9410 Ave Los Romeros
San Juan, PR 00926-7007
Phone (787) 287-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
500PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
M&M Optical Shop Corp Optometrist CurrentSince Jan 21, 2022 Accepting new patients
Optik Optometry Group Optometrist PastSince Oct 17, 2018 Accepting new patients

Locations

1900 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 782-2175

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1770908352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 BLVD MEDIA LUNA APT 602",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009874988",
            "telephone_number": "787-750-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 BLVD MEDIA LUNA APT 602",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009874988",
            "telephone_number": "787-750-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS RAMOS",
        "first_name": "LINNETTE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.