Ileana Marie Nieves Martinez

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X

License

24080 Issued in PR

Practice address

1114 Ave Jesus T Pinero
San Juan, PR 00921-1722

Phone

(787) 781-3020

NPI assigned

Jun 4, 2019

Last updated

Jan 13, 2025By 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 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centro Oftalmologico Metropolitano CSPGroup PAC ID 4587655204, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Centro Oftalmologico Metropolitano CSP

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1528022027
  Medicare reassignment Care Compare group NPD
• Recinto de Ciencias Medicas

  dba Recinto de Ciencias Medicas- (Oftalmologia-RCM)

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1770654592
  Medicare reassignment NPD
• Recinto de Ciencias Medicas

  dba Cirugia Colorrectal RCM

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1467010579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 CALLE SALVIA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693943",
            "telephone_number": "787-789-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 AVE JESUS T PINERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211722",
            "telephone_number": "787-781-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES MARTINEZ",
        "first_name": "ILEANA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "68067",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "PR",
            "license": "24080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Luis Nieves Garnica I, M.D.
• Benjamin Nieves Lopez, MD
• Sheila Nieves Lozada, MD
• Michelle Janice Nieves Maldonado, M.D.
• Aleida G Nieves Martinez, MD
• Kathleen Nieves Mas, MD
• Amairy Nieves Medina, BSN
• Marie Lisabeth II Nieves Nieves, MS-SLP
• Nilmar Nieves Ortiz, MD
• Niosiris Nieves Ortiz

• Pediatric Ophthalmology and Strabismus Specialist Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatric Ophthalmology and Strabismus Specialist Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.