Individual provider Active NPI

Jessica - Cedeno

  • Ophthalmology Physician
  • San Juan, PR
National Provider Identifier
1639199599
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14116 Issued in PR
Practice address
715 Ave Ponce de Leon
Pda 37 1/2 Hosp Auxilio Mutuo Torre Medica 502
San Juan, PR 00917-5032
Phone
(787) 296-0870
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14116 PR Primary

Addresses

Primary practice location

715 Ave Ponce de Leon
Pda 37 1/2 Hosp Auxilio Mutuo Torre Medica 502
San Juan, PR 00917-5032

Mailing address

1948 Calle Jose Fidalgo Diaz
Cond Alturas de Caldas Apt 141
San Juan, PR 00926-5326
Phone (787) 758-9394

Other names 1

  • Jessica - Cedeno Richiez Professional name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070212000362 PR Practitioner - Ophthalmology 3072534650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants of P.R.Group PAC ID 6103823851, 3 clinicians

Practice addresses (Care Compare)

Ave Ponce de Leon 735 Torre Auxilio
Suite 502
Hato Rey, PR 00917-5024
Phone (787) 296-0870

Merit-based Incentive Payment System (MIPS)

Final score
94.98 of 100Reported as group
Quality
89.95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants of P.R. Ophthalmology CurrentSince Sep 1, 2006 Accepting new patients
William a. Townsend Pico PSC Past Accepting new patients

Locations

735 Ave Ponce de Leon
Ste 502
San Juan, PR 00917
Phone (787) 296-0780

Interoperability endpoints

  • Direct secure messaging: jcedeno@retcopr.intellechartdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1639199599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 CALLE JOSE FIDALGO DIAZ",
            "address_2": "COND ALTURAS DE CALDAS APT 141",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265326",
            "telephone_number": "787-758-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 AVE PONCE DE LEON",
            "address_2": "PDA 37 1/2 HOSP AUXILIO MUTUO TORRE MEDICA 502",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175032",
            "telephone_number": "787-296-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDENO",
        "first_name": "JESSICA",
        "middle_name": "-",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "14116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CEDENO RICHIEZ",
            "middle_name": "-",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.