Individual provider Active NPI

Janisse A Monzon, O.D.

  • Optometrist
  • Rio Piedras, PR
National Provider Identifier
1992767412
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
482 Issued in PR
Practice address
1072 Calle William Jones
Rio Piedras, PR 00925-3831
Phone
(787) 754-7323
Fax
(787) 754-7323
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 482 PR Primary

Addresses

Primary practice location

1072 Calle William Jones
Rio Piedras, PR 00925-3831

Mailing address

I-#4 Calle Harding
Urb. Parkville
Guaynabo, PR 00969-3811
Phone (787) 460-5268

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
I20071002000126 PR Practitioner - Optometry 2163517442 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
482PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Optica Rio Piedras Optometrist PastSince Jan 1, 1990 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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1992767412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "I-#4 CALLE HARDING",
            "address_2": "URB. PARKVILLE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693811",
            "telephone_number": "787-460-5268",
            "fax_number": "787-460-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 CALLE WILLIAM JONES",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009253831",
            "telephone_number": "787-754-7323",
            "fax_number": "787-754-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONZON",
        "first_name": "JANISSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.