Individual provider Active NPI

Janice Salas Vincenty, O.D.

  • Optometrist
  • San Juan, PR
National Provider Identifier
1457591919
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
627 Issued in PR
Practice address
1018 Ave Ashford
Suite 1 a
San Juan, PR 00907-2108
Phone
(787) 624-3430
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 627 PR Primary

Addresses

Primary practice location

1018 Ave Ashford
Suite 1 a
San Juan, PR 00907-2108

Mailing address

Be24 Plaza 13
Trujillo Alto, PR 00976-6049

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
I20101201000151 PR Practitioner - Optometry 4981890019 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
627PRMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1457591919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BE24 PLAZA 13",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 AVE ASHFORD",
            "address_2": "SUITE 1 A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072108",
            "telephone_number": "787-624-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS VINCENTY",
        "first_name": "JANICE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.