Instituto Cirugia Orbitofacial, CSP

Primary specialty

SpecialistTaxonomy code 174400000X

License

12463 Issued in PR

Legal business name

INSTITUTO CIRUGIA ORBITOFACIAL, CSP

Practice address

100 Carr 165
Suite 310
Guaynabo, PR 00968-8047

Phone

(787) 781-4700

Fax

(787) 781-1590

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Carlos R Pou, MDNPI 1841250941

Title

Chief Medical Director

Phone

(787) 781-4700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

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

• Carlos Roberto Pou, M.D.

  • Specialist
  • Guaynabo, PR
  • NPI 1841250941
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1043498918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8508",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100508",
            "telephone_number": "787-781-4700",
            "fax_number": "787-781-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARR 165",
            "address_2": "SUITE 310",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688047",
            "telephone_number": "787-781-4700",
            "fax_number": "787-781-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO CIRUGIA ORBITOFACIAL, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "POU",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-781-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "12463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.