Individual provider Active NPI

Julian Ortiz Sr., L.O.

  • Optician
  • Canovanas, PR
National Provider Identifier
1932480746
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
597 Issued in PR
Practice address
Urb Loiza Valley 206 Violeta
Canovanas, PR 00729
Phone
(787) 876-5000
Fax
(787) 876-2422
NPI assigned
Sep 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 597 PR Primary

Addresses

Primary practice location

Urb Loiza Valley 206 Violeta
Canovanas, PR 00729

Mailing address

206 Calle Violeta
Urb. Loiza Valley
Canovanas, PR 00729-3549
Phone (787) 876-8409

Other names 1

  • Mrs. Julian Ortiz Sr. Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abbot Optical Lens Inc. Optician CurrentSince Nov 17, 2019 Accepting new patients

Locations

206 Calle Violeta
Canovanas, PR 00729

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1932480746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CALLE VIOLETA",
            "address_2": "URB. LOIZA VALLEY",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293549",
            "telephone_number": "787-876-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB LOIZA VALLEY 206 VIOLETA",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-876-5000",
            "fax_number": "787-876-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JULIAN",
        "name_prefix": "Mrs.",
        "name_suffix": "Sr.",
        "credential": "L.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-07",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIAN",
            "last_name": "ORTIZ",
            "prefix": "MRS.",
            "suffix": "SR.",
            "credential": "L.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.