Individual provider Active NPI

Isela Nieves, O.D.

  • Optometrist
  • Bayamon, PR
National Provider Identifier
1902023708
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
418 Issued in PR
Practice address
Ave Comerio # CC-33
Rio Hondo
Bayamon, PR 00961-4477
Phone
(787) 269-7300
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 418 PR Primary

Addresses

Primary practice location

Ave Comerio # CC-33
Rio Hondo
Bayamon, PR 00961-4477

Mailing address

LL16 Calle Playa
Dorado del Mar
Dorado, PR 00646-2321
Phone (787) 278-1706

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
I20160314001778 PR Practitioner - Optometry 8820394059 Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
387PRMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1902023708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LL16 CALLE PLAYA",
            "address_2": "DORADO DEL MAR",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462321",
            "telephone_number": "787-278-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE COMERIO # CC-33",
            "address_2": "RIO HONDO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614477",
            "telephone_number": "787-269-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "ISELA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

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