Active NPI
Angel Miguel Rosado Jordan, OPTICIAN
- Eyewear Supplier
- Caguas, PR
National Provider Identifier
1992896971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 150
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660533483 | Medicaid | PR | |
| 101263 | Other | PR | IVISION |
| 660533483 | Other | PR | MCS CLASSICARE |
Other names 1
- Angel Miguel Rosado Jordan
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150 | PR | MD | Eyewear Supplier |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optica Lafont | Eyewear Supplier | Current | Accepting new patients |
| Optica Lafont | Optician | Past | 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.
-
- Eyewear Supplier
- Caguas, PR
- NPI 1417840091
-
- Optician
- Caguas, PR
- NPI 1366919045
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.