JOVANNY ULLOA OD
NPI 1083047336
Optometrist in Guaynabo, PR

Q: What is Jovanny Ulloa's NPI number?

The NPI number for Jovanny Ulloa is 1083047336. It was assigned to this individual provider in the NPPES registry on August 9, 2013.

Q: What is Jovanny Ulloa's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jovanny Ulloa was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2013PECOS EnrolledAccepts Medicare Assignment

SUITE A-12, SANTA MARIA SHOPPING CTR, GUAYNABO, PR 00969(939) 336-4584 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2022, Dec 14, 2020, Apr 14, 2020 (3 updates tracked since 2020).

On this page

About Jovanny Ulloa Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOVANNY ULLOA OD (NPI 1083047336) is an individual optometrist in Guaynabo, Puerto Rico, licensed in Puerto Rico (702) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of International American University At Puerto Rico - School Of Optometry (2002).

NPPES Registry Identity

NPI1083047336

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameJOVANNY ULLOACredential: OD

Location AddressSUITE A-12, SANTA MARIA SHOPPING CTRGuaynabo, PR 00969

Mailing Address78 Calle Coralina, RosevilleSan Juan, PR 00926-9634 · (787) 210-6092

Phone(939) 336-4584

Sole ProprietorYes

Medical School CMSInternational American University At Puerto Rico - School Of OptometryGraduated 2002

Enumeration DateAugust 9, 2013

Last NPPES UpdateAugust 10, 20223 updates tracked since enumeration

NPPES CertifiedAugust 2, 2022

✔ NPI 1083047336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in PR · 702

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jovanny Ulloa Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113151366

PECOS Enrollment IDI20131002000150

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00969 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.65 typical visit price

range $56.86 – $172.44

Typical copayment $32.66 (range $14.21 – $43.11)

Most-billed visit code 99204

Established Patient

$70.88 typical visit price

range $18.24 – $140.44

Typical copayment $17.72 (range $4.56 – $35.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jovanny Ulloa's NPI number?

The NPI number for Jovanny Ulloa is 1083047336. It was assigned to this individual provider in the NPPES registry on August 9, 2013.

Where is Jovanny Ulloa located?

Jovanny Ulloa practices at Suite A-12 Santa Maria Shopping Ctr, Guaynabo, PR 00969. The listed phone number is (939) 336-4584.

What is Jovanny Ulloa's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jovanny Ulloa enrolled in Medicare?

Yes. Jovanny Ulloa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jovanny Ulloa was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.