Jovino Diaz Fernandez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

223 Issued in PR

Practice address

BB13 Ext Jard de Humacao
Humacao, PR 00791-3724

Phone

(787) 627-1724

NPI assigned

Aug 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ojos Centro Optico LLC

  • Optometrist
  • San Sebastian, PR
  • NPI 1649761867
  NPD (past)
• Vision Works of Puerto Rico Inc

  • Eyewear Supplier
  • Humacao, PR
  • NPI 1467762153
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1700879483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STREET A EXTENSION JARDINES DE HUMACAO",
            "address_2": "BB13",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007910000",
            "telephone_number": "787-627-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BB13 EXT JARD DE HUMACAO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913724",
            "telephone_number": "787-627-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ FERNANDEZ",
        "first_name": "JOVINO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yazmin Deynes-Exclusa, PH.D
• Neysa Rebeca Diaz Colon, LND
• Jesse E Diaz Correa, MD
• Yaritza Diaz de Jesus
• Ambar E Diaz del Valle, MS
• Anamarie Diaz Garcia
• Vivian B. Diaz Melendez, M.D
• Nayma Iris Diaz Muriel, MSW
• Neftali Diaz Rios, PH.D
• Lillian Vanessa Diaz Rosado, SW

• Optometrist in Humacao, PR
• Providers in Humacao, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.

Verify at the official NPI Registry.