Active NPI
Edwin Jemal Perez-del Pilar, O.D.
- Optometrist
- San Juan, PR
National Provider Identifier
1912194598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 485-133
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 485 | PR | MD | Chiropractor |
| 485-133 | PR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Vision Optical Inc | Optometrist | Current | 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
- Vigmalia Perez-Calo, MSW
- Carina Perez-Cisneros Armenteros, DMD
- Adolfo Perez-Comas, MD,PHD, FACE
- Hortensia Perez-Cuevas, M.D.
- Marco Antonio Perez-Davila, M.D.
- Charmaine Marie Perez-del Valle, M.D.
- Annette Perez-Delboy, M.D.
- Carmen Maria Perez-Diaz, MD
- Cenia S Perez-Fernandez, M.D.
- Roberto Perez-Gutierrez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.