Individual provider Active NPI

Nellie Valentin, LICENSED OPTICAL

  • Optometrist
  • Juncos, PR
National Provider Identifier
1669582730
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
146 Issued in PR
Practice address
Calle Dr Barreras # 41
Juncos, PR 00777
Phone
(787) 734-3303
Fax
(787) 734-3303
NPI assigned
Aug 30, 2006
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 146 PR Primary
Optician 156FX1800X 146 PR

Addresses

Primary practice location

Calle Dr Barreras # 41
Juncos, PR 00777

Mailing address

PO Box 1397
Calle Dr. Barrera 41
Juncos, PR 00777-1397
Phone (787) 734-3303

Other identifiers 3

IdentifierTypeStateIssuer
660672596OtherPRMCS
215988OtherPRPREFERRED HEALTH
55A1OtherPRAMERICAN HEALTH MEDICARE

Other names 1

  • Miss Nellie Valentin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
146PRMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Optica Current Accepting new patients
Melissa Optica & Lab. Inc Current Accepting new patients

Locations

41 Calle Dr Barreras
Juncos, PR 00777
Phone (787) 734-3303

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, 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1669582730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1397",
            "address_2": "CALLE DR. BARRERA 41",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007771397",
            "telephone_number": "787-734-3303",
            "fax_number": "787-734-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DR BARRERAS # 41",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-734-3303",
            "fax_number": "787-734-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTIN",
        "first_name": "NELLIE",
        "name_prefix": "Mrs.",
        "credential": "LICENSED OPTICAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "146",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "146",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "660672596",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "215988",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "55A1",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELLIE",
            "last_name": "VALENTIN",
            "prefix": "MISS",
            "credential": "LICENSED OPTICAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Juncos, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.