Organization Active NPI

Cayey Visual Center, Corp

  • Point of Service
  • Cayey, PR
National Provider Identifier
1003969353
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
621 Issued in PR
Legal business name
CAYEY VISUAL CENTER, CORP
Practice address
5001 Ave Jesus T Pinero Ste 130
Cayey, PR 00736-5541
Phone
(787) 263-1335
Fax
(787) 263-1335
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Carmen Luz Diaz Hernandez, O.D.NPI 1366448383
Title
President
Phone
(787) 263-1335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 621 PR Primary

Addresses

Primary practice location

5001 Ave Jesus T Pinero Ste 130
Cayey, PR 00736-5541

Mailing address

4 Calle Madreselva
Cayey, PR 00736-4879
Phone (787) 402-4739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210204000126 PR Part B Supplier - Clinic/Group Practice 6204240138 Receives reassigned benefits from 1 practitioner
Practice locations: Cayey, PR

National Provider Directory

National Provider Directory

Locations

5001 Ave Jesus T Pinero
Ste 130
Cayey, PR 00736
Phone (787) 263-1335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1003969353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CALLE MADRESELVA",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364879",
            "telephone_number": "787-402-4739",
            "fax_number": "787-263-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 AVE JESUS T PINERO STE 130",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007365541",
            "telephone_number": "787-263-1335",
            "fax_number": "787-263-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAYEY VISUAL CENTER, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "DIAZ HERNANDEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "LUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-263-1335",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "PR",
            "license": "621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.