Individual provider Active NPI

Victor J. Quinones-Colon, OD

  • Corneal and Contact Management Optometrist
  • Caguas, PR
National Provider Identifier
1740335082
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
234-0276 Issued in PR
Practice address
Ave Gautier Benitez 112
Esquina Jose Mercado
Caguas, PR 00725
Phone
(787) 643-2187
Fax
(787) 743-8974
NPI assigned
Jan 25, 2007
Last updated
May 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 234-0276 PR Primary

Addresses

Primary practice location

Ave Gautier Benitez 112
Esquina Jose Mercado
Caguas, PR 00725

Mailing address

Ave Gautier Benitez 112
Esquina Jose Mercado
Caguas, PR 00725
Phone (787) 643-2187

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
I20060117000197 PR Practitioner - Optometry 8325062425 Practice locations: Caguas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
234-0276PRMDCorneal and Contact Management Optometrist
234PRMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1740335082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE GAUTIER BENITEZ 112",
            "address_2": "ESQUINA JOSE MERCADO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-643-2187",
            "fax_number": "787-743-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE GAUTIER BENITEZ 112",
            "address_2": "ESQUINA JOSE MERCADO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-643-2187",
            "fax_number": "787-743-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES-COLON",
        "first_name": "VICTOR",
        "middle_name": "J.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PR",
            "license": "234-0276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.