Noelia Eusebio-Peguero, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

294 Issued in PR

Practice address

Rexville DB6 Calle 31
Bayamon, PR 00957-4152

Phone

(787) 279-1789

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1932154663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REXVILLE DB6 CALLE 31",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009574152",
            "telephone_number": "787-279-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REXVILLE DB6 CALLE 31",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009574152",
            "telephone_number": "787-279-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSEBIO-PEGUERO",
        "first_name": "NOELIA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INVISION INTERNATIONAL",
            "identifier": "10-1076",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSSAM",
            "identifier": "3707-5",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debby Estrella
• Elizabeth Marie Estremera Tosado
• Carlos Enrique Estremera, PHARMACY
• Vanessa Etienne, MD
• Eulalio Cruzado Perez
• Everest Management & Healthcare Solutions
• Evolve Skin and Health LLC
• Express Health Solution LLC
• Express Medical & Hosp Supplies Inc
• Eye Care LLC

• Optometrist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.

Verify at the official NPI Registry.