Jovanny Ulloa, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

702 Issued in PR

Practice address

Suite a-12
Santa Maria Shopping Ctr
Guaynabo, PR 00969

Phone

(939) 336-4584

NPI assigned

Aug 9, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brain & Vision Boutique

  • Optometrist
  • San Juan, PR
  • NPI 1750092367
  NPD Authorized official
• Brain & Vision

  • Multi-Specialty Clinic/Center
  • San Juan, PR
  • NPI 1952794182
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1083047336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CALLE CORALINA",
            "address_2": "ROSEVILLE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269634",
            "telephone_number": "787-210-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE A-12",
            "address_2": "SANTA MARIA SHOPPING CTR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "939-336-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLOA",
        "first_name": "JOVANNY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "braingympr@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "Suite A-12",
            "address_2": "Santa Maria Shopping Ctr",
            "city": "Guaynabo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edwin Tricoche Martinez, 1081P
• Claudia I Trogolo Franco
• Trusttherapeutics Puerto Rico LLC
• Ulloa Oculoplastic Surgery LLC
• Santiago A Ulloa Ramirez
• Victoria Maria Ulloa, MD
• Bianca Sofia Umpierre Ramos
• Luis F Umpierre, PSY.D
• Umss
• Anouk Underwood, O.D.

• Optometrist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.