Individual provider Active NPI

Karla Janixa Velez Quintana, OD

  • Optometrist
  • San Sebastian, PR
National Provider Identifier
1235735614
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
750 Issued in PR
Practice address
4100 Ave Arcadio Estrada
Ste 283
San Sebastian, PR 00685-3217
Phone
(787) 896-7021
NPI assigned
Dec 10, 2020
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 750 PR Primary

Addresses

Primary practice location

4100 Ave Arcadio Estrada
Ste 283
San Sebastian, PR 00685-3217

Mailing address

PO Box 250437
Aguadilla, PR 00604-0437

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
I20220126000097 PR Practitioner - Optometry 9537551544 Practice locations: San Sebastian, PR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4100 Ave Arcadio Estrada
Suite 283
San Sebastian, PR 00685-3217
Phone (787) 896-7021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
750PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Zone C.S.P CurrentSince Jan 2, 2022 Accepting new patients
Eye Zone Aguadilla LLC Current Accepting new patients

Locations

4100 Ave Arcadio Estrada
Ste 283
San Sebastian, PR 00685
Phone (787) 896-7021

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, 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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1235735614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250437",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006040437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 AVE ARCADIO ESTRADA",
            "address_2": "STE 283",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006853217",
            "telephone_number": "787-896-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ QUINTANA",
        "first_name": "KARLA",
        "middle_name": "JANIXA",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.