Individual provider Active NPI

Lourdes Natalia Beauregard, O.D.

  • Optometrist
  • Hato Rey, PR
National Provider Identifier
1295783793
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
182 Issued in PR
Practice address
Ave. Teniente Cesar Gonzalez #572
Urb. Baldrich
Hato Rey, PR 00919
Phone
(787) 758-2404
Fax
(787) 758-4227
NPI assigned
May 5, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 182 PR Primary

Addresses

Primary practice location

Ave. Teniente Cesar Gonzalez #572
Urb. Baldrich
Hato Rey, PR 00919

Mailing address

PO Box 193128
San Juan, PR 00919-3128
Phone (787) 758-2404

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
I20060207000719 PR Practitioner - Optometry 1355356726 Practice locations: Hato Rey, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
182PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
LNBV LLC 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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295783793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193128",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193128",
            "telephone_number": "787-758-2404",
            "fax_number": "787-758-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. TENIENTE CESAR GONZALEZ #572",
            "address_2": "URB. BALDRICH",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "787-758-2404",
            "fax_number": "787-758-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUREGARD",
        "first_name": "LOURDES",
        "middle_name": "NATALIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.