NPIMap

Organization Active NPI

San Juan Ophthalmology Group CSP

  • Ophthalmology Physician
  • San Juan, PR
National Provider Identifier
1093839540
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9406 Issued in PR
Legal business name
SAN JUAN OPHTHALMOLOGY GROUP CSP
Practice address
29 Washington Street
Suite 707
San Juan, PR 00907-1503
Phone
(787) 723-4670
Fax
(787) 722-6533
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Dr. Raul G Franceschi, M,D.NPI 1770558595
Title
President
Phone
(787) 723-4670

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 9406 PR Primary

Addresses

Primary practice location

29 Washington Street
Suite 707
San Juan, PR 00907-1503

Mailing address

29 Washington Street
Suite 707
San Juan, PR 00907-1503
Phone (787) 723-4670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120208000548 PR Part B Supplier - Clinic/Group Practice 9739346438 Receives reassigned benefits from 1 practitioner
Practice locations: Caguas, PR; San Juan, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1093839540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON STREET",
            "address_2": "SUITE 707",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071503",
            "telephone_number": "787-723-4670",
            "fax_number": "787-722-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON STREET",
            "address_2": "SUITE 707",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071503",
            "telephone_number": "787-723-4670",
            "fax_number": "787-722-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN OPHTHALMOLOGY GROUP CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "FRANCESCHI",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-723-4670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M,D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "9406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.