Individual provider Active NPI

Diana I. Cruz Aleman, OPTOMETRY DOCTOR

  • Corneal and Contact Management Optometrist
  • Trujillo Alto, PR
National Provider Identifier
1013181783
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
217 Issued in PR
Practice address
D54 Calle Cartagena
Urb Lago Alto
Trujillo Alto, PR 00976-4050
Phone
(787) 269-7649
Fax
(787) 786-1424
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 217 PR Primary

Addresses

Primary practice location

D54 Calle Cartagena
Urb Lago Alto
Trujillo Alto, PR 00976-4050

Mailing address

D54 Calle Cartagena
Urb. Lago Alto
Trujillo Alto, PR 00976-4050
Phone (787) 748-5283

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
I20160816000835 PR Practitioner - Optometry 4688968548 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
217PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
VM Optical LLC PastSince Aug 28, 2021 Accepting new patients
VM Optical LLC PastSince Dec 13, 2022 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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1013181783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D54 CALLE CARTAGENA",
            "address_2": "URB. LAGO ALTO",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009764050",
            "telephone_number": "787-748-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D54 CALLE CARTAGENA",
            "address_2": "URB LAGO ALTO",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009764050",
            "telephone_number": "787-269-7649",
            "fax_number": "787-786-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ ALEMAN",
        "first_name": "DIANA",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRY DOCTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PR",
            "license": "217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.