Angel Madera, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

545 Issued in PR

Practice address

550 Carr 128
Ste 106
Yauco, PR 00698-4434

Phone

(787) 267-7829

Fax

(787) 267-7829

NPI assigned

Jun 13, 2005

Last updated

Jul 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Eyecare 20/20

  • Ophthalmology Physician
  • Ponce, PR
  • NPI 1588673727

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1871597229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CARR 128",
            "address_2": "STE 106",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006984434",
            "telephone_number": "787-267-7829",
            "fax_number": "787-267-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CARR 128",
            "address_2": "STE 106",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006984434",
            "telephone_number": "787-267-7829",
            "fax_number": "787-267-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERA",
        "first_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "03321",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "215111",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLOBAL HEALTH PLAN",
            "identifier": "068-660588611-068545",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "55379AM",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "7126",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "890159",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samaris Lopez, MS SLP CCC
• Vionet Luciano, T.S.
• Sylvette Lugo Cintron, MD
• Fausto Miguel Hernan Lugo Martinez
• Johnny Lugo-Poche, MD
• Paola Myliam Malave Ramos, RN
• Enrique A Maldonado Torres, MD
• Ana I Maldonado
• Darmiz E Mangual Ruiz, PSY D
• Amarilys Mangual, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.