Individual provider Active NPI

Viveca Maldonado, OD

  • Optometrist
  • Ponce, PR
National Provider Identifier
1760420947
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
207 Issued in PR
Practice address
2050 Ponce by Pass
Suite 200
Ponce, PR 00716-1911
Phone
(787) 259-7059
Fax
(787) 848-4806
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 207 PR Primary

Addresses

Primary practice location

2050 Ponce by Pass
Suite 200
Ponce, PR 00716-1911

Mailing address

2050 Ponce by Pass Ste. 200
Ponce, PR 00717
Phone (787) 259-7059

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
I20170624000033 PR Practitioner - Optometry 6103194642 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc. Current Accepting new patients
Luxottica of America Inc. CurrentSince Sep 6, 2023 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

4000 Luxottica Pl
Mason, OH 45040
Phone (513) 765-2155

2050 Ponce Byp
Ste 101
Ponce, PR 00716
Phone (787) 259-8882

Organizations & group practices 3

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760420947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 PONCE BY PASS STE. 200",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-259-7059",
            "fax_number": "787-843-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 PONCE BY PASS",
            "address_2": "SUITE 200",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161911",
            "telephone_number": "787-259-7059",
            "fax_number": "787-848-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "VIVECA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.