Centro Oftalmologico Metropolitano CSP

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CENTRO OFTALMOLOGICO METROPOLITANO CSP

Practice address

1114 Ave Jesus T Pinero
San Juan, PR 00921-1722

Phone

(787) 781-3020

Fax

(787) 781-3375

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Nestor A Medina

Title

Administrador

Phone

(787) 781-3020

Specialties & licenses 7

Addresses

Tax ID family

Centro Oftalmologico Metropolitano CSP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Centro Oftalmologico Metropolitano CSP

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1528022027
  NPD tax ID

Locations

Practitioners 3

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

• Luis R De Corral, MD

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1245291194
  NPD
• Ian K Piovanetti, MD

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1205897154
  NPD
• Jose E Piovanetti

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1528023876
  NPD

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1033970744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 AVE JESUS T PINERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211722",
            "telephone_number": "787-781-3020",
            "fax_number": "787-781-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 AVE JESUS T PINERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211722",
            "telephone_number": "787-781-3020",
            "fax_number": "787-781-3375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Calle Un E Ste 207-208",
            "address_purpose": "LOCATION",
            "city": "Fajardo",
            "state": "PR",
            "postal_code": "007384817",
            "country_code": "US",
            "telephone_number": "787-863-9052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRO OFTALMOLOGICO METROPOLITANO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-781-3020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro Medicos Unidos de Aguada
• Centro Medicos Unidos del Oeste
• Centro Neurobiofisiologico de PR
• Centro Neurodiagnostico, Inc.
• Centro Neurologico del Caribe, LLC.
• Centro Oftalmologico Metropolitano CSP
• Centro Oncologia Y Hematologia
• Centro Pediatrico Las Americas C.S.P.
• Centro Pediatrico Paseos
• Centro Psicologico Nintai Para la Salud Y El Bienestar LLC

• Ophthalmology Physician in San Juan, PR
• Providers in San Juan, 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 Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.