Jovina Rodriguez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

487 Issued in PR

Practice address

Optica Sears Plaza del Este Shopping Center
Fajardo, PUESRTO RICO 00738
UM

Phone

(787) 863-2590

NPI assigned

May 13, 2008

Last updated

Sep 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Adrialex,Inc.

  dba Centro Visual Mirada del Este

  • Primary Care Clinic/Center
  • Naguabo, PR
  • NPI 1275899817
  NPD (past) Authorized official
• Mendez Velez Inc

  dba Lens Corner Caguas

  • Eyewear Supplier
  • Caguas, PR
  • NPI 1922322593
  NPD (past)

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1346417839",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "BARRIO DAGUAO",
            "address_2": "BUZON 738",
            "city": "NAGUABO",
            "state": "PUERTO RICO",
            "postal_code": "00718",
            "telephone_number": "787-206-2410"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "OPTICA SEARS PLAZA DEL ESTE SHOPPING CENTER",
            "city": "FAJARDO",
            "state": "PUESRTO RICO",
            "postal_code": "00738",
            "telephone_number": "787-863-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOVINA",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.