Ezer Camacho Rodriguez, M.D.
Individual provider Active NPI Ophthalmology Physician · Corozal, PR
NPI 1023200748 · NPPES record last updated May 16, 2016
Key facts
- NPI
- 1023200748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 17090 (PR)
- Practice address
- Edificio Plaza del Carmen Ofic. 306
Corozal, PR 00783 - Phone
- (787) 802-1336
- Fax
- (787) 802-1333
- NPI assigned
- Aug 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- University of Puerto Rico School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Carr
159 Edificio Plaza del Carmen Suite 306 Car
Corozal, PR 00783
Phone (787) 802-1335
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 56 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081008000796 | PR | Practitioner - Ophthalmology | 2062580608 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novo-Vision Ophthalmology Clinic PSC | Current |
Accepting new patients | |
| Oftalmologos Asociados del Norte CRL | Ophthalmology | Past |
Accepting new patients |
Interoperability endpoints
- dr.ezer.camacho@novo-visionclinic.direct.eyemdemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 17090 | PR | Yes |
Addresses
Primary practice location
Edificio Plaza del Carmen Ofic. 306
Corozal, PR 00783
Mailing address
PO Box 94000
PMB 102
Corozal, PR 00783-9481
Phone (787) 802-1336
Other providers in Corozal, PR
- Mireya M Bolo Diaz
- Javier O Bonilla Salgado
- Natalia Paola Borges Rivera I
- BR Ambulance LLC
- Luis M Burgos Hernandez
- Uriel Camacho
- Cami Pharmacy Group, Inc.
- Karla Castellano Rivera
- Katherine Castillo Rodriguez
- Ricardo J. Castro Cintron
All providers in Corozal, PR · Ophthalmology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.