Active NPI
Nieves Rodriguez, D.O.
- Optician
- San Juan, PR
National Provider Identifier
1831253046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 43
- Practice address
- 30 Calle Washington
Suite 5
San Juan, PR 00907-1589 - Phone
- (787) 722-0215
- Fax
- (787) 723-8783
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 43 | PR | Primary |
Addresses
Primary practice location
30 Calle Washington
Suite 5
San Juan, PR 00907-1589
Mailing address
30 Calle Washington
Suite 5
San Juan, PR 00907-1589
Phone (787) 722-0215
Other names 1
- Optica Ashford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43 | PR | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831253046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CALLE WASHINGTON",
"address_2": "SUITE 5",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009071589",
"telephone_number": "787-722-0215",
"fax_number": "787-723-8783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CALLE WASHINGTON",
"address_2": "SUITE 5",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009071589",
"telephone_number": "787-722-0215",
"fax_number": "787-723-8783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "NIEVES",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "43",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OPTICA",
"last_name": "ASHFORD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.