Individual provider Active NPI

Angel Miguel Rosado Jordan, OPTICIAN

  • Eyewear Supplier
  • Caguas, PR
National Provider Identifier
1992896971
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
150 Issued in PR
Practice address
45 Calle Ruiz Belvis
Caguas, PR 00725-3552
Phone
(787) 743-5785
Fax
(787) 743-5785
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 150 PR
Eyewear Supplier 332H00000X 150 PR Primary

Addresses

Primary practice location

45 Calle Ruiz Belvis
Caguas, PR 00725-3552

Mailing address

45 Calle Ruiz Belvis
Caguas, PR 00725-3552
Phone (787) 743-5785

Other identifiers 3

IdentifierTypeStateIssuer
660533483MedicaidPR
101263OtherPRIVISION
660533483OtherPRMCS CLASSICARE

Other names 1

  • Angel Miguel Rosado Jordan Professional 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

State licenses

LicenseStateTypeSpecialty
150PRMDEyewear Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Optica Lafont Eyewear Supplier CurrentSince Jun 8, 2025 Accepting new patients
Optica Lafont Optician PastSince Jun 8, 2025 Accepting new patients

Organizations & group practices 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1992896971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CALLE RUIZ BELVIS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253552",
            "telephone_number": "787-743-5785",
            "fax_number": "787-743-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CALLE RUIZ BELVIS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253552",
            "telephone_number": "787-743-5785",
            "fax_number": "787-743-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO JORDAN",
        "first_name": "ANGEL",
        "middle_name": "MIGUEL",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "150",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PR",
            "license": "150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660533483",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IVISION",
            "identifier": "101263",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS CLASSICARE",
            "identifier": "660533483",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "ROSADO JORDAN",
            "middle_name": "MIGUEL",
            "credential": "OPTICA LAFONT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.