Ezer Camacho Rodriguez, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

17090 Issued in 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

Last updated

May 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: dr.ezer.camacho@novo-visionclinic.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Novo-Vision Ophthalmology Clinic PSC

  • Medical Specialty Clinic/Center
  • Corozal, PR
  • NPI 1215228077
  Medicare reassignment NPD
• Oftalmologos Asociados del Norte CRL

  • Ophthalmology Physician
  • Manati, PR
  • NPI 1215002670
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1023200748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94000",
            "address_2": "PMB 102",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007839481",
            "telephone_number": "787-802-1336",
            "fax_number": "787-802-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO PLAZA DEL CARMEN OFIC. 306",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-802-1336",
            "fax_number": "787-802-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO RODRIGUEZ",
        "first_name": "EZER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "17090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mireya M Bolo Diaz, M.D.
• Javier O Bonilla Salgado, RPT
• Natalia Paola Borges Rivera I
• BR Ambulance LLC
• Luis M Burgos Hernandez, MD
• Uriel Camacho, M.D.
• Cami Pharmacy Group, Inc. (Super Farmacia Corozal)
• Karla Castellano Rivera
• Katherine Castillo Rodriguez
• Ricardo J. Castro Cintron, MD

• Ophthalmology Physician in Corozal, PR
• Providers in Corozal, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.