Individual provider Active NPI

Alyzbeth Caraballo Luna, OD

  • Optometrist
  • Bayamon, PR
National Provider Identifier
1457056798
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
764 Issued in PR
Practice address
500 Dr. John W. Harris
Bayamon, PR 00957
Phone
(787) 765-1915
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 764 PR Primary

Addresses

Primary practice location

500 Dr. John W. Harris
Bayamon, PR 00957

Mailing address

HC 8 Box 2854
Sabana Grande, PR 00637-9240
Phone (939) 242-5967

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
I20230926002526 PR Practitioner - Optometry 4981058856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
764PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Toperbee Corporation Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Toperbee Corporation Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Centro Vision Cabo Rojo Inc. Optometrist Past Accepting new patients

Organizations & group practices 3

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": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1457056798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 8 BOX 2854",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006379240",
            "telephone_number": "939-242-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DR. JOHN W. HARRIS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-765-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO LUNA",
        "first_name": "ALYZBETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.