Active NPI
Elvin B Pena, O.D.
- Optometrist
- San Lorenzo, PR
National Provider Identifier
1235296500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 484
- Practice address
- 216 Calle Munoz Rivera S
Plaza Buxo 3
San Lorenzo, PR 00754-4215 - Phone
- (787) 736-2465
- Fax
- (787) 736-1565
- NPI assigned
- Jan 3, 2007
- Last updated
- Nov 6, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 484 | PR | Primary |
Addresses
Primary practice location
216 Calle Munoz Rivera S
Plaza Buxo 3
San Lorenzo, PR 00754-4215
Mailing address
3535 Ave Militar
Isabela, PR 00662-5909
Phone (787) 830-5777
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61413 | Other | PR | SSS |
| 068484 | Other | PR | GLOBAL HEALTH PLAN |
| 2352 | Other | PR | AMERICAN HEALTH |
| 6170 | Other | PR | AMERICAN HEATH MADICARE |
| 215132 | Other | PR | PREFERRED (UTI) |
| 7540054 | Other | PR | HUMANA REFORMA |
| 660590457 | Other | PR | OPTION HEALTH PLAN CARE N |
| 077153 | Other | PR | CRUZ AZUL |
| 7540054 | Other | PR | HUMANA |
| 890224 | Other | PR | MMM |
| PR0484 | Other | PR | EYE MED |
| 7413 | Other | PR | IMC FIRST MEDICAL |
| 61413 | Other | PR | SSS MEDICARE OPTIMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 484 | PR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safety Lens & Eye Wear | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1235296500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 AVE MILITAR",
"city": "ISABELA",
"state": "PR",
"postal_code": "006625909",
"telephone_number": "787-830-5777",
"fax_number": "787-830-5785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 CALLE MUNOZ RIVERA S",
"address_2": "PLAZA BUXO 3",
"city": "SAN LORENZO",
"state": "PR",
"postal_code": "007544215",
"telephone_number": "787-736-2465",
"fax_number": "787-736-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "ELVIN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "61413",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLOBAL HEALTH PLAN",
"identifier": "068484",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH",
"identifier": "2352",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEATH MADICARE",
"identifier": "6170",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED (UTI)",
"identifier": "215132",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA REFORMA",
"identifier": "7540054",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTION HEALTH PLAN CARE N",
"identifier": "660590457",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "077153",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "7540054",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "890224",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED",
"identifier": "PR0484",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMC FIRST MEDICAL",
"identifier": "7413",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS MEDICARE OPTIMO",
"identifier": "61413",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Lorenzo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.