Individual provider Active NPI

Joshara M Perez Moreno, OD

  • Optometrist
  • Cabo Rojo, PR
National Provider Identifier
1609838556
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
521 Issued in PR
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
521PRMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.