Individual provider Active NPI

Hector L Sanchez Maldonado, O.D.

  • Optometrist
  • Vega Baja, PR
National Provider Identifier
1922186790
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
138 Issued in PR
Practice address
Calle 5a Marg K1 Urb Villa Real
Vega Baja, PR 00693-0000
Phone
(787) 858-2624
Fax
(787) 858-2624
NPI assigned
Nov 1, 2006
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 138 PR Primary
Corneal and Contact Management Optometrist 152WC0802X 138 PR

Addresses

Primary practice location

Calle 5a Marg K1 Urb Villa Real
Vega Baja, PR 00693-0000

Mailing address

Calle 5a Marg. K1 Urb. Villa Real
Vega Baja, PR 00693-0000
Phone (787) 462-0573

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
I20131206001369 PR Practitioner - Optometry 2163659657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle 5a Marginal
K1 Urb Villa Real
Vega Baja, PR 00693
Phone (787) 858-2624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
138PRMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialist LLC Optometrist CurrentSince May 12, 2022 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, 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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1922186790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 5A MARG. K1 URB. VILLA REAL",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006930000",
            "telephone_number": "787-462-0573",
            "fax_number": "787-858-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 5A MARG K1 URB VILLA REAL",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006930000",
            "telephone_number": "787-858-2624",
            "fax_number": "787-858-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ MALDONADO",
        "first_name": "HECTOR",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "138",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PR",
            "license": "138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.