Individual provider Active NPI

Christie Mercado Ruiz, OD

  • Optometrist
  • San Juan, PR
National Provider Identifier
1992233423
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
728-0417 Issued in PR
Practice address
30 Calle Washington # Local5
San Juan, PR 00907-1589
Phone
(787) 722-0215
NPI assigned
May 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 728-0417 PR Primary

Addresses

Primary practice location

30 Calle Washington # Local5
San Juan, PR 00907-1589

Mailing address

30 Calle Washington # Local5
San Juan, PR 00907-1589
Phone (787) 722-0215

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
I20190402002327 PR Practitioner - Optometry 3072854983 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mandm Optical Shop CorpGroup PAC ID 9830240464, 4 clinicians

Practice addresses (Care Compare)

1900 Ave J T Pinero
San Juan, PR 00920
Phone (787) 782-2175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
728-0417PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
J&F Optical Service Incorporated Optometrist CurrentSince Oct 17, 2018 Accepting new patients
M&M Optical Shop Corp Optometrist CurrentSince Nov 1, 2018 Accepting new patients
Grupo Optometrico Altamira LLC Optometrist Current Accepting new patients
Emergency Loving Care LLC CurrentSince Jun 15, 2025 Accepting new patients
Optik Optometry Group Optometrist PastSince Oct 17, 2018 Accepting new patients

Locations

1900 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 782-2175

1910 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 607-8332

Organizations & group practices 5

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": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1992233423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CALLE WASHINGTON # LOCAL5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071589",
            "telephone_number": "787-722-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALLE WASHINGTON # LOCAL5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071589",
            "telephone_number": "787-722-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO RUIZ",
        "first_name": "CHRISTIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-29",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "728-0417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.