Individual provider Active NPI

Ivelisse Alejandro, OD

  • Optometrist
  • Cayey, PR
National Provider Identifier
1851500672
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
538 Issued in PR
Practice address
Carr 14 Bo Montellano
Hospital Menonita 205
Cayey, PR 00736
Phone
(787) 535-1032
Fax
(787) 738-5161
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 538 PR Primary

Addresses

Primary practice location

Carr 14 Bo Montellano
Hospital Menonita 205
Cayey, PR 00736

Mailing address

151 Calle la Cima
Gran Vista 1
Gurabo, PR 00778-5006
Phone (787) 535-1032

Other identifiers 1

IdentifierTypeStateIssuer
538OtherPRLICENCE

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851500672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 CALLE LA CIMA",
            "address_2": "GRAN VISTA 1",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007785006",
            "telephone_number": "787-535-1032",
            "fax_number": "787-738-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 14 BO MONTELLANO",
            "address_2": "HOSPITAL MENONITA 205",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-535-1032",
            "fax_number": "787-738-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEJANDRO",
        "first_name": "IVELISSE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "538",
            "state": "PR"
        }
    ],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.