Caguas Optical Outlet, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

666 Issued in PR

Legal business name

CAGUAS OPTICAL OUTLET, INC

Practice address

118 Ave Manuel Domenech
San Juan, PR 00918-3503

Phone

(787) 379-7879

Fax

(787) 282-6956

NPI assigned

May 4, 2016

Organization subpart

No

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

Authorized official

Name

Johana Rodriguez, O.DNPI 1255640694

Title

President

Phone

(787) 586-4179

Specialties & licenses 1

Addresses

Other names 1

• Urban Optics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johana Rodriguez, O.D

  • Optometrist
  • San Juan, PR
  • NPI 1255640694
  NPD (past) Authorized official
• Domingo Gilberto Rodriguez, MD

  • Internal Medicine Physician
  • Hato Rey, PR
  • NPI 1376649749
  NPD (past)

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1831544253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191762",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191762",
            "telephone_number": "787-379-7879",
            "fax_number": "787-282-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 AVE MANUEL DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183503",
            "telephone_number": "787-379-7879",
            "fax_number": "787-282-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAGUAS OPTICAL OUTLET, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOHANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-586-4179",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urban Optics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria B. Cadilla, D.M.D.
• Ronald G Cadillo-Chavez, MD
• Daniel Cadiz, L.P.N.
• Felipe Caez, PHARM. D.
• Karen Caez, PH.D.
• Caiepa, Inc.
• Katrina Lisa Cairns
• Lucas Cajiao, NP
• Miriam Cajigas, RN
• Myralys Calaf, PHD

• Primary Care Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.