Individual provider Active NPI

Juana Elizabeth Echeverria, O.D.

  • Optometrist
  • Carolina, PR
National Provider Identifier
1548209042
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
314 Issued in PR
Practice address
Jesus Fragoso Avenue Hwy # 3 Loiza
Carolina, PR 00988
Phone
(787) 752-9200
Fax
(787) 257-2665
NPI assigned
Jun 6, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 314 PR Primary

Addresses

Primary practice location

Jesus Fragoso Avenue Hwy # 3 Loiza
Carolina, PR 00988

Mailing address

PO Box 8755
Humacao, PR 00792-8755
Phone (787) 852-8964

Other identifiers 2

IdentifierTypeStateIssuer
6720002OtherPRHUMANA PUERTO RICO
57118ECOtherPRTRIPLE S

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
I20200701003360 PR Practitioner - Optometry 3779906193 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
314PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc. Current Accepting new patients
Luxottica of America Inc CurrentSince Apr 1, 2025 Accepting new patients
For Eyes Optical of Puerto Rico, LLC CurrentSince Oct 13, 2022 Accepting new patients
Luxottica of America Inc CurrentSince Apr 1, 2025 Accepting new patients
For Eyes Optical of Puerto Rico, LLC CurrentSince Oct 13, 2022 Accepting new patients

Locations

4000 Luxottica Pl
Mason, OH 45040
Phone (513) 765-2155

200 Ave Rafael Cordero
Ste 106
Caguas, PR 00725
Phone (939) 332-7043

2050 Ponce Byp
Ponce, PR 00716
Phone (787) 259-9497

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1548209042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8755",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007928755",
            "telephone_number": "787-852-8964",
            "fax_number": "787-257-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JESUS FRAGOSO AVENUE HWY # 3 LOIZA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00988",
            "telephone_number": "787-752-9200",
            "fax_number": "787-257-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVERRIA",
        "first_name": "JUANA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PUERTO RICO",
            "identifier": "6720002",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "57118EC",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.