Individual provider Active NPI

Ana Nicolle Hernandez Alejandro, OD

  • Optometrist
  • Carolina, PR
National Provider Identifier
1235735960
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000748 Issued in PR
Practice address
Ave. 65 de Infanteria, KM. 12.3
Carolina, PR 00985
Phone
(787) 769-2477
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 000748 PR Primary

Addresses

Primary practice location

Ave. 65 de Infanteria, KM. 12.3
Carolina, PR 00985

Mailing address

657 Calle Lirio de Paz
Las Flores de Montehiedra
San Juan, PR 00926
Phone (787) 436-0089

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
I20210315001371 PR Practitioner - Optometry 3274949391 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000748PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto de Ojos Y Piel, Inc Optometrist CurrentSince Feb 21, 2021 Accepting new patients
Instituto de Ojos Y Piel CurrentSince Feb 21, 2021 Accepting new patients
Instituto de Ojos Y Piel, Inc Past Accepting new patients
Carlos Rivera/ Centro Visual Juncos Optometrist Past Accepting new patients

Locations

11310 Ave 65 Infanteria
#3
Carolina, PR 00987
Phone 7877692477325

Organizations & group practices 4

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": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1235735960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 CALLE LIRIO DE PAZ",
            "address_2": "LAS FLORES DE MONTEHIEDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-436-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. 65 DE INFANTERIA, KM. 12.3",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-769-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ ALEJANDRO",
        "first_name": "ANA",
        "middle_name": "NICOLLE",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "000748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.