Niviana Adelmary Yambo-Mercado, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

599 Issued in PR

Practice address

1718 Carr 506
Suite 101
Coto Laurel, PR 00780-2601

Phone

(787) 840-4646

Fax

(787) 840-4646

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Vista Clinica Visual, LLC

  • Optometrist
  • Coto Laurel, PR
  • NPI 1508339722
  NPD Authorized official
• Vista-Clinica Visual

  • Vision Therapy Optometrist
  • Coto Laurel, PR
  • NPI 1366747198
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1477616258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANSION REAL",
            "address_2": "223 ISABEL ST.",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802601",
            "telephone_number": "787-840-4646",
            "fax_number": "787-840-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 CARR 506",
            "address_2": "SUITE 101",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802601",
            "telephone_number": "787-840-4646",
            "fax_number": "787-840-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMBO-MERCADO",
        "first_name": "NIVIANA",
        "middle_name": "ADELMARY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Teresa Velez-Maldonado, M.D
• Jose Luis Vera-Miro, M.D.
• Vista Clinica Visual, LLC
• Vista-Clinica Visual
• Wal-Mart Puerto Rico Inc (Walmart Vision Center 30-5793)

• Optometrist in Coto Laurel, PR
• Providers in Coto Laurel, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.