Individual provider Active NPI

Edwin Jusino Quinones, OD

  • Vision Therapy Optometrist
  • Ponce, PR
National Provider Identifier
1013363993
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
719 Issued in PR
Practice address
Plaza del Caribe Mall
2050 Ponce Bypass Suite 200
Ponce, PR 00717
Phone
(787) 259-7059
NPI assigned
May 10, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 719 PR Primary

Addresses

Primary practice location

Plaza del Caribe Mall
2050 Ponce Bypass Suite 200
Ponce, PR 00717

Mailing address

Villa del Carmen
1045 Calle Salermo
Ponce, PR 00716
Phone (956) 706-8118

Other practice location 1

Plaza de Caribe Mall
2050 Ponce Bypass Suite 111
Ponce, PR 00071
Phone (787) 259-7059

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
I20250807004467 PR Practitioner - Optometry 9739426651 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
719PRMDPhysical Therapist
000719PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
For Eyes Optical of Puerto Rico, LLC CurrentSince Jul 1, 2025 Accepting new patients
For Eyes Optical of Puerto Rico, LLC Current Accepting new patients
For Eyes Optical of Puerto Rico, LLC CurrentSince Jul 1, 2025 Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Santa Rosa Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients

Locations

200 Ave Rafael Cordero
Ste 106
Caguas, PR 00725
Phone (939) 332-7043

2050 Ponce Byp
Ste 111
Ponce, PR 00716
Phone (787) 259-7059

Organizations & group practices 6

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1013363993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLA DEL CARMEN",
            "address_2": "1045 CALLE SALERMO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "956-706-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA DEL CARIBE MALL",
            "address_2": "2050 PONCE BYPASS SUITE 200",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-259-7059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PLAZA DE CARIBE MALL",
            "address_2": "2050 PONCE BYPASS SUITE 111",
            "address_purpose": "LOCATION",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00071",
            "country_code": "US",
            "telephone_number": "787-259-7059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSINO QUINONES",
        "first_name": "EDWIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2025-08-04",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "PR",
            "license": "719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.