Individual provider Active NPI

Edwin Jemal Perez-del Pilar, O.D.

  • Optometrist
  • San Juan, PR
National Provider Identifier
1912194598
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
485-133 Issued in PR
Practice address
Ave McLeary
1801 Cond. Beach Court Apt. #602
San Juan, PR 00911-1266
Phone
(787) 263-9079
NPI assigned
Sep 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 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 485-133 PR Primary

Addresses

Primary practice location

Ave McLeary
1801 Cond. Beach Court Apt. #602
San Juan, PR 00911-1266

Mailing address

Ave McLeary
1801 Cond. Beach Court Apt. #602
San Juan, PR 00911-1266
Phone (787) 263-9079

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
I20130430000222 PR Practitioner - Optometry 8224275714 Reassigns benefits to 1 organization
Practice locations: Toa Alta, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
485PRMDChiropractor
485-133PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Vision Optical Inc Optometrist CurrentSince Feb 1, 2023 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": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1912194598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE MCLEARY",
            "address_2": "1801 COND. BEACH COURT APT. #602",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111266",
            "telephone_number": "787-263-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE MCLEARY",
            "address_2": "1801 COND. BEACH COURT APT. #602",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111266",
            "telephone_number": "787-263-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-DEL PILAR",
        "first_name": "EDWIN",
        "middle_name": "JEMAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "485-133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.