Active NPI
Galeria Veinte Veinte LLC
- Optometrist
- Cabo Rojo, PR
National Provider Identifier
1942895529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- GALERIA VEINTE VEINTE LLC
- Practice address
- Marginal Carr. 100, KM 5.8
Cabo Rojo, PR 00623 - Phone
- (787) 235-2240
- NPI assigned
- Mar 4, 2021
- Last updated
- Mar 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Danica Ortiz, O.D.
- Title
- President/Optometrist
- Phone
- (787) 235-2240
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | ||
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
Marginal Carr. 100, KM 5.8
Cabo Rojo, PR 00623
Mailing address
PO Box 1192
Hormigueros, PR 00660-1192
Phone (787) 235-2240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038245900 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2320 Carr 100
Cabo Rojo, PR 00623
Phone (787) 254-6621
2320 Carr 100
Ste 101
Cabo Rojo, PR 00623
Phone (787) 254-6621
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Cabo Rojo, PR
- NPI 1184106965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614816000000",
"number": "1942895529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1192",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "006601192",
"telephone_number": "787-235-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARGINAL CARR. 100, KM 5.8",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "00623",
"telephone_number": "787-235-2240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALERIA VEINTE VEINTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-04",
"last_updated": "2021-03-04",
"certification_date": "2021-02-14",
"status": "A",
"authorized_official_last_name": "ORTIZ",
"authorized_official_first_name": "DANICA",
"authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
"authorized_official_telephone_number": "787-235-2240",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038245900",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cabo Rojo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.