Individual provider Active NPI

Jennifer Marie Alsina Cardona, O.D.

  • Optometrist
  • San Juan, PR
National Provider Identifier
1003995440
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002660 Issued in CT
Practice address
271 Calle Sierra Morena
La Cumbre
San Juan, PR 00926-5539
Phone
(787) 708-5838
NPI assigned
Nov 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002660 CT Primary

Addresses

Primary practice location

271 Calle Sierra Morena
La Cumbre
San Juan, PR 00926-5539

Mailing address

271 Sierra Morena
La Cumbre
San Juan, PR 00926-5539
Phone (787) 708-5838

Other identifiers 1

IdentifierTypeStateIssuer
260060OtherCTCONNECTICARE

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
I20070508000581 PR Practitioner - Optometry 3678679669 Reassigns benefits to 1 organization
Practice locations: Canovanas, PR; San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002660CTMDOptometrist
466PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Outlet LLC CurrentSince Apr 5, 2024 Accepting new patients
Canovanas Eye Group Optometrist PastSince Oct 29, 2009 Accepting new patients
Wal-Mart Puerto Rico Inc Past Accepting new patients

Locations

AA2 Ave Tejas
Humacao, PR 00791
Phone (787) 530-8966

5 Calle Dufresne E
Humacao, PR 00791
Phone (787) 433-9006

Organizations & group practices 3

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": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1003995440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 SIERRA MORENA",
            "address_2": "LA CUMBRE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265539",
            "telephone_number": "787-708-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 CALLE SIERRA MORENA",
            "address_2": "LA CUMBRE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265539",
            "telephone_number": "787-708-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSINA CARDONA",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-05",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "260060",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.