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MISS CARMEN ELBA GARCIA ALVARADO O.D.
NPI 1396959177
Optometrist in Caguas, PR

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
ACOSTA ST, #31, CAGUAS, PR 00725(787) 727-3981(787) 727-3981 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Carmen Elba Garcia Alvarado O.d. NPPES

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

MISS CARMEN ELBA GARCIA ALVARADO O.D. (NPI 1396959177) is an individual optometrist in Caguas, Puerto Rico, licensed in Puerto Rico (351) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1396959177
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMISS CARMEN ELBA GARCIA ALVARADOCredential: O.D.
Location AddressACOSTA ST, #31Caguas, PR 00725
Mailing AddressCond. Altos De La Colina #1600 Ramal 842 Apt.h-807San Juan, PR 00926-9651 · (787) 789-3588
Phone(787) 727-3981
Fax(787) 727-3981
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1396959177 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 · 351
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.
ACOSTA ST, Caguas, PR 00725
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Other Identifiers 1

Medicare UPIN58122PR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Carmen Elba Garcia Alvarado O.d. 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 ID6901047836
PECOS Enrollment IDI20130718000605
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carmen Garcia Alvarado reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Toperbee Corporation
Optometrist
THE OUTLETS AT MONTEHIEDRA, 9410 AVE LOS ROMEROS STE 32
San Juan, PR 00926
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 32 clinicians in this Medicare group
NPI 1275036725 (787) 653-2275
World Vision Optical & Lab
Optometrist
URB. SANTA JUANITA, AVE, SANTA JUANITA L-56
Bayamon, PR 00956
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1306453618 (787) 778-2957

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00725 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 Carmen Garcia Alvarado's NPI number?

The NPI number for Carmen Garcia Alvarado is 1396959177. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Carmen Garcia Alvarado located?

Carmen Garcia Alvarado practices at Acosta St #31, Caguas, PR 00725. The listed phone number is (787) 727-3981.

What is Carmen Garcia Alvarado's specialty?

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

Is Carmen Garcia Alvarado enrolled in Medicare?

Yes. Carmen Garcia Alvarado 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.

Which organizations bill Medicare for Carmen Garcia Alvarado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Garcia Alvarado reassigns Medicare benefits to 2 organizations: Toperbee Corporation (San Juan, PR) and World Vision Optical & Lab (Bayamon, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carmen Garcia Alvarado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Garcia Alvarado accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Carmen Garcia Alvarado as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carmen Garcia Alvarado was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.