Active NPI
Tirsa M Quinones, O.D.
- Vision Therapy Optometrist
- Ponce, PR
National Provider Identifier
1790010189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 88
- Practice address
- 2830 Ave Las Americas
Ponce, PR 00717-2100 - Phone
- (787) 812-3518
- Fax
- (787) 812-3749
- NPI assigned
- Oct 2, 2009
- 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 |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 88 | PR | Primary |
Addresses
Primary practice location
2830 Ave Las Americas
Ponce, PR 00717-2100
Mailing address
2830 Ave Las Americas
Ponce, PR 00717-2100
Phone (787) 812-3518
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
| License | State | Type | Specialty |
|---|---|---|---|
| 88 | PR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Diva, Inc | Vision Therapy | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254441600000",
"number": "1790010189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 AVE LAS AMERICAS",
"city": "PONCE",
"state": "PR",
"postal_code": "007172100",
"telephone_number": "787-812-3518",
"fax_number": "787-812-3749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 AVE LAS AMERICAS",
"city": "PONCE",
"state": "PR",
"postal_code": "007172100",
"telephone_number": "787-812-3518",
"fax_number": "787-812-3749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES",
"first_name": "TIRSA",
"middle_name": "M",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-02",
"last_updated": "2009-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "PR",
"license": "88",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.