Individual provider Active NPI

Alma Latoni Benedetti, OD

  • Optometrist
  • Vega Alta, PR
National Provider Identifier
1427153246
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
120 Issued in PR
Practice address
Centro Gran Caribe Mall
Vega Alta, PR 00692
Phone
(787) 883-1414
Fax
(787) 883-1414
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 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 120 PR Primary

Addresses

Primary practice location

Centro Gran Caribe Mall
Vega Alta, PR 00692

Mailing address

Urb. Punta Las Marias
27 Calle Caoba
San Juan, PR 00913-4720
Phone (787) 224-4521

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
I20051004000228 PR Practitioner - Optometry 4284669755 Practice locations: San Juan, PR; Vega Alta, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
120PRMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Designers Inc CurrentSince Oct 19, 2020 Accepting new patients

Locations

1357 Ave Luis Vigoreaux
Guaynabo, PR 00966
Phone (787) 783-8030

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1427153246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. PUNTA LAS MARIAS",
            "address_2": "27 CALLE CAOBA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009134720",
            "telephone_number": "787-224-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO GRAN CARIBE MALL",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-883-1414",
            "fax_number": "787-883-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATONI BENEDETTI",
        "first_name": "ALMA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

Verify at the official NPI Registry.