Individual provider Active NPI

Gladys Cobian Ayala

  • Optometrist
  • Aibonito, PR
National Provider Identifier
1831132661
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1632490 Issued in PR
Practice address
Edif Guayacan 109B
Aibonito, PR 00705
Phone
(787) 735-5744
Fax
(787) 735-5744
NPI assigned
Jun 13, 2006
Last updated
Apr 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1632490 PR Primary

Addresses

Primary practice location

Edif Guayacan 109B
Aibonito, PR 00705

Mailing address

Edif Guayacan 109B
Aibonito, PR 00705
Phone (787) 735-5744

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
I20110524000484 PR Practitioner - Optometry 3870779044 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1632490PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Guayacan Visual Care Management Inc CurrentSince Nov 5, 2015 Accepting new patients

Locations

204 Calle Julio Cintron
Aibonito, PR 00705
Phone (787) 735-2825

204 Calle Julio Cintron
Ste 10
Aibonito, PR 00705
Phone (787) 735-5744

204 Calle Julio Cintron
Ste 109
Aibonito, PR 00705
Phone (787) 735-5744

204 Calle Julio Cintron
Ste 109B
Aibonito, PR 00705

204 Calle Julio Cintron
Ste 110
Aibonito, PR 00705
Phone (787) 735-5744

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1831132661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIF GUAYACAN 109B",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-735-5744",
            "fax_number": "787-735-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF GUAYACAN 109B",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-735-5744",
            "fax_number": "787-735-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBIAN AYALA",
        "first_name": "GLADYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "1632490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

Verify at the official NPI Registry.