Active NPI
Janice Justiniano, MD
- Ophthalmology Physician
- Mayaguez, PR
National Provider Identifier
1093802829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 13670
- Practice address
- 109 Mendez Vigo E
Mayaguez, PR 00680 - Phone
- (787) 265-6567
- Fax
- (787) 265-6567
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 13670 | PR | Primary |
Addresses
Primary practice location
109 Mendez Vigo E
Mayaguez, PR 00680
Mailing address
PO Box 3316
Marina Station
Mayaguez, PR 00681-3316
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040701001651 | PR | Practitioner - Ophthalmology | 4587641089 | Practice locations: San German, PR; Mayaguez, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Ponce School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
109 Mendez Vigo E
Mayaguez, PR 00680-5051
Phone (787) 265-6567
Torre San Vincente de Paul
Suite 301
San German, PR 00683
Phone (787) 264-6567
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 208 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1093802829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3316",
"address_2": "MARINA STATION",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006813316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 MENDEZ VIGO E",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-265-6567",
"fax_number": "787-265-6567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTINIANO",
"first_name": "JANICE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PR",
"license": "13670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.