Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 152W00000X | Optometrist | | 484 | PUERTO RICO | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | PR0484 | OTHER | PUERTO RICO | EYE MED |
| 2 | 2352 | OTHER | PUERTO RICO | AMERICAN HEALTH |
| 3 | 6170 | OTHER | PUERTO RICO | AMERICAN HEATH MADICARE |
| 4 | 7413 | OTHER | PUERTO RICO | IMC FIRST MEDICAL |
| 5 | 068484 | OTHER | PUERTO RICO | GLOBAL HEALTH PLAN |
| 6 | 660590457 | OTHER | PUERTO RICO | OPTION HEALTH PLAN CARE N |
| 7 | 077153 | OTHER | PUERTO RICO | CRUZ AZUL |
| 8 | 61413 | OTHER | PUERTO RICO | SSS MEDICARE OPTIMO |
| 9 | 890224 | OTHER | PUERTO RICO | MMM |
| 10 | 215132 | OTHER | PUERTO RICO | PREFERRED (UTI) |
| 11 | 61413 | OTHER | PUERTO RICO | SSS |
| 12 | 7540054 | OTHER | PUERTO RICO | HUMANA |
| 13 | 7540054 | OTHER | PUERTO RICO | HUMANA REFORMA |
