Magda Iris Diaz Velazquez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

618 Issued in PR

Practice address

Ave Los Veteranos Carr. #3 KM 134.7
Walmart, Plaza Guayama
Guayama, PR 00784

Phone

(787) 605-1943

NPI assigned

Jun 13, 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

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1780627588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007850629",
            "telephone_number": "787-605-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LOS VETERANOS CARR. #3 KM 134.7",
            "address_2": "WALMART, PLAZA GUAYAMA",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-605-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ VELAZQUEZ",
        "first_name": "MAGDA",
        "middle_name": "IRIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leyshla Robetsy Delgado Rodriguez, MSW
• Ludivina Delgado, LICENSED OPTICIAN
• Dental Services Center, Inc
• Marely Diana, PHD, MA
• Maria Diaz Rodriguez
• Gladymar Diaz
• Jorge Amaro Diaz, M.S.W.
• Yesmarie Diaz, MS
• Luis Alberto Dominguez Carrazquillo, DDS
• Dominguez Family Dental, CSP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.