Individual provider Active NPI

Gabriela R De Boer, M.D.

  • Ophthalmology Physician
  • Bayamon, PR
National Provider Identifier
1033471768
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
23423 Issued in PR
Practice address
1995 Metro Medical Center Suite 401-410
Bayamon, PR 00959-5065
Phone
(787) 641-3030
Fax
(787) 641-3031
NPI assigned
Jun 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 23423 PR Primary
Ophthalmology Physician 207W00000X 2016-00916 NC

Addresses

Primary practice location

1995 Metro Medical Center Suite 401-410
Bayamon, PR 00959-5065

Mailing address

1 Ave Fomento Ste 1
Caguas, PR 00725-5700
Phone (787) 641-3030

Other practice location 1

PR 1 Ave Sakura
Plaza Bairoa Suite 245
Caguas, PR 00725
Phone (787) 641-3030

Other identifiers 7

IdentifierTypeStateIssuer
19LIPOtherNCBCBS
4188317OtherNCENVOLVE
4188317OtherNCAETNA
A28835OtherNCEYEMED
1033471768MedicaidNC
13837568OtherCAQH
1853558OtherNCWELLCARE

Other names 1

  • Gabriela Rodriguez Colon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, PR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160804002138 NC Practitioner - Ophthalmology 2567606114
I20250404000207 PR Practitioner - Ophthalmology 2567606114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puerto Rico Eye InstituteGroup PAC ID 2769876028, 7 clinicians

Practice addresses (Care Compare)

PR-1 Ave Sakura Plaza Bairoa
Suite 245
Caguas, PR 00725
Phone (787) 641-3030

Merit-based Incentive Payment System (MIPS)

Final score
93.82 of 100Reported as group
Quality
99.47
Promoting interoperability
100
Improvement activities
40
Cost
79.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2016-00916NCMDOphthalmology Physician
23423PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Eye Institute Ophthalmology CurrentSince May 1, 2025 Accepting new patients
Graystone Ophthalmology Associates, P.a. Ophthalmology Current Accepting new patients
Graystone Ophthalmology Associates, PA Ophthalmology Current Accepting new patients
Graystone Ophthalmology Associates, PA Ophthalmology Current Accepting new patients
Prei Bayamon Ophthalmology PastSince Jun 3, 2025 Accepting new patients

Locations

2640 Highway 105
Ste 102
Boone, NC 28607
Phone (828) 262-1554

2424 Century Pl SE
Hickory, NC 28602
Phone 82832220506722

2060 Hickory Blvd SW
Lenoir, NC 28645
Phone (704) 732-3796

2311 E Main St
Lincolnton, NC 28092
Phone 8283222050 ext. 6843

1 Ave Fomento
Ste 1
Caguas, PR 00725

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: gabriela.rodriguezcolon.p1@direct.graystone-eye.nextgenshare.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1033471768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AVE FOMENTO STE 1",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255700",
            "telephone_number": "787-641-3030",
            "fax_number": "787-641-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 METRO MEDICAL CENTER SUITE 401-410",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595065",
            "telephone_number": "787-641-3030",
            "fax_number": "787-641-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PR 1 AVE SAKURA",
            "address_2": "PLAZA BAIROA SUITE 245",
            "address_purpose": "LOCATION",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-641-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE BOER",
        "first_name": "GABRIELA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "23423",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2016-00916",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "19LIP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENVOLVE",
            "identifier": "4188317",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4188317",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "A28835",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033471768",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13837568",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1853558",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELA",
            "last_name": "RODRIGUEZ COLON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.