Active NPI
Janice Corales, O.D.
- Optometrist
- San German, PR
National Provider Identifier
1649691668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 713
- Practice address
- 321 Calle Loto
Repto Suris
San German, PR 00683 - Phone
- (787) 502-3131
- NPI assigned
- Dec 17, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 713 | PR | Primary |
Addresses
Primary practice location
321 Calle Loto
Repto Suris
San German, PR 00683
Mailing address
321 Calle Loto
Repto Suris
San German, PR 00683
Phone (787) 502-3131
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 |
|---|---|---|---|---|
| I20240322003465 | PR | Practitioner - Optometry | 1456798628 | Practice locations: Anasco, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 713 | PR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Visual Care PSC | 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 and National Provider Directory roles.
-
- Optometrist
- Anasco, PR
- NPI 1558629089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1649691668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 CALLE LOTO",
"address_2": "REPTO SURIS",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-502-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 CALLE LOTO",
"address_2": "REPTO SURIS",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-502-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORALES",
"first_name": "JANICE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-17",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San German, PR
- Pablo William Colon Lopez, MD
- Roxana Colon Morales
- Yeileen Concepcion Hernandez
- Frances Nicolle Conesa
- Consultorio Optometrico de SG, CSP (Dr. Luis E. Mora Antongiorgi)
- Waldemar Jose Cordero Pacheco
- Jose Waldemar Cordero, D.M.D., M.S.D.
- Arisha Crespo Figueroa, MD
- Alberto Criado, M.D.
- Cross Sectional Imaging
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.