Active NPI
Isela Nieves, O.D.
- Optometrist
- Bayamon, PR
National Provider Identifier
1902023708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 418
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160314001778 | PR | Practitioner - Optometry | 8820394059 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 387 | PR | MD | Chiropractor |
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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.