Clinica de Ojos de Guayama Inc

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

License

471 Issued in PR

Legal business name

CLINICA DE OJOS DE GUAYAMA INC

Practice address

Commerce Plaza Urb. Costa Azul
Suite 101 G Calle 13 Esq Calle 11
Guayama, PR 00784

Phone

(787) 864-7902

Fax

(787) 864-7902

NPI assigned

Mar 4, 2009

Last updated

Mar 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ericberto Cotto, OD

Title

Optometriest/President

Phone

(787) 864-7902

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1053551929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMMERCE PLAZA URB. COSTA AZUL",
            "address_2": "SUITE 101 G CALLE 13 ESQ CALLE 11",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-7902",
            "fax_number": "787-864-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMERCE PLAZA URB. COSTA AZUL",
            "address_2": "SUITE 101 G CALLE 13 ESQ CALLE 11",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-7902",
            "fax_number": "787-864-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE OJOS DE GUAYAMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "COTTO",
        "authorized_official_first_name": "ERICBERTO",
        "authorized_official_title_or_position": "OPTOMETRIEST/PRESIDENT",
        "authorized_official_telephone_number": "787-864-7902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "PR",
            "license": "471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Corporate Health Clinic/Center in Guayama, PR
• Providers in Guayama, PR by specialty
• Corporate Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.