Active NPI
Jose Eli Perez Gonzalez, OD
- Optometrist
- Cayey, PR
National Provider Identifier
1790945772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 00343
- Practice address
- 4005 Perez Hermanos Plaza
Jesus T Pineiro
Cayey, PR 00736 - Phone
- (787) 738-7120
- Fax
- (787) 738-7140
- NPI assigned
- Jun 12, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 00343 | PR | Primary |
Addresses
Primary practice location
4005 Perez Hermanos Plaza
Jesus T Pineiro
Cayey, PR 00736
Mailing address
Box 129
Condominio Altomonte
San Juan, PR 00926-0001
Phone (787) 738-7120
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 Calle Betances
Suite 480
Caguas, PR 00725-5204
Phone (787) 703-4111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00343 | PR | MD | Optometrist |
| 343 | PR | MD | Veterinarian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mfe Vision | Current | Accepting new patients |
Locations
400 Calle Betances
Caguas, PR 00725
Phone (787) 653-2275
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": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379030400000",
"number": "1790945772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 129",
"address_2": "CONDOMINIO ALTOMONTE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009260001",
"telephone_number": "787-738-7120",
"fax_number": "787-738-7140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 PEREZ HERMANOS PLAZA",
"address_2": "JESUS T PINEIRO",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-738-7120",
"fax_number": "787-738-7140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ GONZALEZ",
"first_name": "JOSE",
"middle_name": "ELI",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-12",
"last_updated": "2013-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "00343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.