Individual provider Active NPI

Stella Marie Casillas, M.D.

  • Ophthalmology Physician
  • Arecibo, PR
National Provider Identifier
1093908915
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17473 Issued in PR
Practice address
Metro Pavia Clinics
Carr 129 Victor Rojas 2 Zona Ind'L
Arecibo, PR 00612
Phone
(787) 820-8989
Fax
(787) 820-6715
NPI assigned
Aug 23, 2007
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 17473 PR Primary

Addresses

Primary practice location

Metro Pavia Clinics
Carr 129 Victor Rojas 2 Zona Ind'L
Arecibo, PR 00612

Mailing address

PO Box 589
Dorado, PR 00646-0589
Phone (787) 820-8989

Other practice location 1

Ojos Puerto Rico
111 Ave Munoz Rivera
Camuy, PR 00627
Phone (787) 820-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120926000182 PR Practitioner - Ophthalmology 5991998031 Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Zona Industrial Victor Rojas
Suite 2
Arecibo, PR 00612
Phone (787) 820-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17473PRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Ojos Puerto Rico Servicios Clinicos PSC Ophthalmology CurrentSince Jul 9, 2025 Accepting new patients
Instituto de Ojos Y Piel, Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1093908915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460589",
            "telephone_number": "787-820-8989",
            "fax_number": "787-820-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METRO PAVIA CLINICS",
            "address_2": "CARR 129 VICTOR ROJAS 2 ZONA IND'L",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-820-8989",
            "fax_number": "787-820-6715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ojos Puerto Rico",
            "address_2": "111 Ave Munoz Rivera",
            "address_purpose": "LOCATION",
            "city": "Camuy",
            "state": "PR",
            "postal_code": "00627",
            "country_code": "US",
            "telephone_number": "787-820-8989",
            "fax_number": "787-820-6715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASILLAS",
        "first_name": "STELLA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "17473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.