Individual provider Active NPI

Carlos A Rivera Alonso, O.D.

  • Optometrist
  • Juncos, PR
National Provider Identifier
1104823186
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
232-0016 Issued in PR
Practice address
23 Calle Martinez
Juncos, PR 00777-3636
Phone
(787) 734-9090
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 232-0016 PR Primary

Addresses

Primary practice location

23 Calle Martinez
Juncos, PR 00777-3636

Mailing address

23 Calle Martinez
Juncos, PR 00777-3636
Phone (787) 734-9090

Other identifiers 9

IdentifierTypeStateIssuer
1104823186OtherPRMAPFRE
58031RIOtherPRTRIPLE S
077057OtherPRCRUZ AZUL DE PUERTO RICO
19905OtherPRPROSSAM
1605OtherPRFIRST MEDICAL
215099OtherPRPREFFERED HEALTHCARE
660464923OtherPRCOSVIMED
6710023OtherPRHUMANA
890219OtherPRMEDICARE Y MUCHO MAS

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
I20101026000783 PR Practitioner - Optometry 5193918845 Practice locations: Juncos, PR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23 Calle Martinez
Juncos, PR 00777-3636
Phone (787) 734-9090

23 Martinez
Juncos, PR 00777-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
232-0016PRMDOptometrist
232PRMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Metrohealth Radiation Oncology Group, Inc. Past Accepting new patients
Carlos Rivera/ Centro Visual Juncos Optometrist Past 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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1104823186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CALLE MARTINEZ",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007773636",
            "telephone_number": "787-734-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CALLE MARTINEZ",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007773636",
            "telephone_number": "787-734-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ALONSO",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "232-0016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPFRE",
            "identifier": "1104823186",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "58031RI",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL DE PUERTO RICO",
            "identifier": "077057",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSSAM",
            "identifier": "19905",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "1605",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFFERED HEALTHCARE",
            "identifier": "215099",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVIMED",
            "identifier": "660464923",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6710023",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "890219",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juncos, PR

Sources for this page

Verify at the official NPI Registry.