Nydia P. Perez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

344 Issued in PR

Practice address

Los Dominicos Shopping Center
Suite 19
Levittown, PR 00949

Phone

(787) 795-5109

Fax

(787) 795-5109

NPI assigned

Jan 25, 2007

Last updated

Feb 18, 2012By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329523200000",
    "number": "1306991641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CLEMSON ST. UNIVERSITY GARDENS",
            "address_2": "321B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274020",
            "telephone_number": "787-448-0266",
            "fax_number": "787-795-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOS DOMINICOS SHOPPING CENTER",
            "address_2": "SUITE 19",
            "city": "LEVITTOWN",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-795-5109",
            "fax_number": "787-795-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "NYDIA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ada F Faria, D.D.S.
• Levittown Clinical Center PSC
• Nanette R Mendez, DMD
• Gino Miguel Muniz, M.A.
• Ivette Amalia Perez-Pagan, M.D.
• Waleska Pillich Ortiz, CRNA
• PR Renal Health and Research Inc.
• Nahir A Rivera Perez
• Raquel Robles
• Libna A. Sanjurjo-Melendez, PSYD.

• Optometrist in Levittown, PR
• Providers in Levittown, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2012; 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.

Verify at the official NPI Registry.