Individual provider Active NPI

Norma Iris Rodriguez Maisonet, OD

  • Optometrist
  • Carolina, PR
National Provider Identifier
1780666263
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
606 Issued in PR
Practice address
Monaco 620
Ext El Comandante
Carolina, PR 00982
Phone
(787) 762-0828
Fax
(787) 762-0828
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 606 PR Primary

Addresses

Primary practice location

Monaco 620
Ext El Comandante
Carolina, PR 00982

Mailing address

Monaco 620
Ext El Comandante
Carolina, PR 00982
Phone (787) 762-0828

Other identifiers 2

IdentifierTypeStateIssuer
P667OtherPRIMC
100483OtherPRLACRUZ AZUL

Other names 1

  • Dr. Norma Iris Rodriguez Maisonet Other name

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
I20040614000761 PR Practitioner - Optometry 8921082504 Practice locations: Carolina, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
606PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ojos de Puerto Rico, Inc CSP Optometrist Past Accepting new patients

Organizations & group practices 1

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1780666263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MONACO 620",
            "address_2": "EXT EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-762-0828",
            "fax_number": "787-762-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MONACO 620",
            "address_2": "EXT EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-762-0828",
            "fax_number": "787-762-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MAISONET",
        "first_name": "NORMA",
        "middle_name": "IRIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "P667",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LACRUZ AZUL",
            "identifier": "100483",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORMA",
            "last_name": "RODRIGUEZ MAISONET",
            "middle_name": "IRIS",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.