Individual provider Active NPI

Jose A Rivera Negron, O.D.

  • Optometrist
  • San Juan, PR
National Provider Identifier
1386651883
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
408 Issued in PR
Practice address
1 Calle Rodriguez Serra Apt 1002
San Juan, PR 00907-1451
Phone
(787) 637-1625
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 408 PR Primary

Addresses

Primary practice location

1 Calle Rodriguez Serra Apt 1002
San Juan, PR 00907-1451

Mailing address

1 Calle Rodriguez Serra Apt 1002
San Juan, PR 00907-1451
Phone (787) 637-1625

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
I20170518000205 PR Practitioner - Optometry 2264709450 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Toperbee Corporation Optometrist Current Accepting new patients
Toperbee Corporation Optometrist CurrentSince Jul 26, 2025 Accepting new patients
Toperbee Corporation Optometrist CurrentSince Jul 26, 2025 Accepting new patients
Optica Visual Corner Past Accepting new patients
Optilook Past Accepting new patients
Jalou Inc Optometrist Past Accepting new patients

Locations

9410 Ave Los Romeros
Ste 35A
San Juan, PR 00926
Phone (787) 653-2275

Organizations & group practices 6

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1386651883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALLE RODRIGUEZ SERRA APT 1002",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071451",
            "telephone_number": "787-637-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE RODRIGUEZ SERRA APT 1002",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071451",
            "telephone_number": "787-637-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA NEGRON",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.