Active NPI
Joshara M Perez Moreno, OD
- Optometrist
- Cabo Rojo, PR
National Provider Identifier
1609838556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 521
- Practice address
- # 38 Munoz Rivera
Esq Rius Rivera
Cabo Rojo, PR 00623 - Phone
- (787) 851-9285
- Fax
- (787) 851-9285
- NPI assigned
- Apr 5, 2006
- Last updated
- Sep 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 521 | PR | Primary |
Addresses
Primary practice location
# 38 Munoz Rivera
Esq Rius Rivera
Cabo Rojo, PR 00623
Mailing address
PO Box 623
Cabo Rojo, PR 00623
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091001000543 | PR | Practitioner - Optometry | 5799821930 | Practice locations: Cabo Rojo, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
38 Calle Munoz Rivera
Cabo Rojo, PR 00623-3554
Phone (787) 851-9285
PO Box
Suite 623
Cabo Rojo, PR 00623-0623
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 521 | PR | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joshara Pevez Moreuo | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253836800000",
"number": "1609838556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 623",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "00623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "# 38 MUNOZ RIVERA",
"address_2": "ESQ RIUS RIVERA",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "00623",
"telephone_number": "787-851-9285",
"fax_number": "787-851-9285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ MORENO",
"first_name": "JOSHARA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2009-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cabo Rojo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.