Virginia Nelta Cedeno, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

497 Issued in PR

Practice address

1790 Ave. Lomas Verdes
Plaza Olmedo
San Juan, PR 00926

Phone

(787) 708-5821

Fax

(787) 708-5821

NPI assigned

Oct 14, 2005

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

Other identifiers 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

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mandm Optical Shop CorpGroup PAC ID 9830240464, 4 clinicians

Practice addresses (Care Compare)

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.

• M&M Optical Shop Corp

  • Optometrist
  • San Juan, PR
  • NPI 1760465066
  Medicare reassignment Care Compare group NPD
• Grupo Optometrico Altamira LLC

  • Optometrist
  • Guaynabo, PR
  • NPI 1518665561
  NPD

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1205825098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 50 LA CUMBRE",
            "address_2": "267 SIERRA MORENA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265639",
            "telephone_number": "787-708-5821",
            "fax_number": "787-708-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 AVE. LOMAS VERDES",
            "address_2": "PLAZA OLMEDO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-708-5821",
            "fax_number": "787-708-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDENO",
        "first_name": "VIRGINIA",
        "middle_name": "NELTA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL PR",
            "identifier": "077114",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francis Xavier Cedeno Rodriguez
• Carmen Rosa Cedeno
• Dary Cedeno, L.P.N.
• Diana Marie Cedeno, OTL
• Jessica - Cedeno
• Wilma E Cedeno, MD
• Mabel Cedres, P.T.
• Cefisad
• Adrian Eduardo Cendoya Gari, RN
• Yeritza Maria Centeno Batalla, MD

• Optometrist in San Juan, PR
• Providers in San Juan, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.

Verify at the official NPI Registry.