Organization Active NPI

Centro Visual Rio Hondo CSP

  • Optometrist
  • Bayamon, PR
National Provider Identifier
1063184950
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CENTRO VISUAL RIO HONDO CSP
Practice address
DD16 Calle 25
Bayamon, PR 00961-3804
Phone
(787) 798-9491
NPI assigned
Sep 29, 2021
Last updated
Sep 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Dr. Roberto Latimer Arsuaga, MDNPI 1972511350
Title
Owner/Doctor
Phone
(787) 798-9491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

DD16 Calle 25
Bayamon, PR 00961-3804

Mailing address

DD16 Calle 25
Bayamon, PR 00961-3804
Phone (787) 798-9491

Other identifiers 1

IdentifierTypeStateIssuer
038744900MedicaidPR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1063184950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DD16 CALLE 25",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613804",
            "telephone_number": "787-798-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DD16 CALLE 25",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613804",
            "telephone_number": "787-798-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO VISUAL RIO HONDO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "LATIMER ARSUAGA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "787-798-9491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038744900",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.