Individual provider Active NPI

Monica Nieves Colon, OD

  • Optometrist
  • Vega Baja, PR
National Provider Identifier
1154378438
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
590 Issued in PR
Practice address
412 Paseo Trio Vegabajeno
Vega Baja, PR 00693-5830
Phone
(787) 858-1695
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 590 PR Primary

Addresses

Primary practice location

412 Paseo Trio Vegabajeno
Vega Baja, PR 00693-5830

Mailing address

412 Paseo Trio Vegabajeno # 2
Vega Baja, PR 00693-5830
Phone (787) 858-1695

Other practice location 1

J20 Calle 2
Hermanas Davila
Bayamon, PR 00959-5001
Phone (787) 261-5333

Other identifiers 1

IdentifierTypeStateIssuer
57656NIOtherTRIPLE S

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
I20080415000122 PR Practitioner - Optometry 9537246624 Practice locations: Bayamon, PR; Caguas, PR; Vega Baja, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
590PRMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optica Ruben Nieves Past Accepting new patients
Empresas Optica Nacional Past Accepting new patients
Optica Duarte Past Accepting new patients

Organizations & group practices 3

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1154378438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 PASEO TRIO VEGABAJENO # 2",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935830",
            "telephone_number": "787-858-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 PASEO TRIO VEGABAJENO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935830",
            "telephone_number": "787-858-1695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "J20 Calle 2",
            "address_2": "Hermanas Davila",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009595001",
            "country_code": "US",
            "telephone_number": "787-261-5333",
            "fax_number": "787-261-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEVES COLON",
        "first_name": "MONICA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "57656NI",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.