Active NPI
Maria H Berrocal-Fernandez, MD
- Ophthalmology Physician
- San Juan, PR
National Provider Identifier
1104800630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 9358
- Practice address
- 150 Ave de Diego
Suite 404
San Juan, PR 00907-2300 - Phone
- (787) 725-9315
- Fax
- (787) 724-4654
- NPI assigned
- Nov 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 9358 | PR | Primary |
Addresses
Primary practice location
150 Ave de Diego
Suite 404
San Juan, PR 00907-2300
Mailing address
PO Box 41281
San Juan, PR 00940-1281
Phone (787) 725-9315
Other names 1
- MHB Ophthalmics PSC
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131115000932 | PR | Practitioner - Ophthalmology | 3476570862 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Ave de Diego
150 Suite 404
San Juan, PR 00907
Phone (787) 725-9315
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 213 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Diagnostico Y Tratamiento Oftalmologico, Inc | Ophthalmology | Current | Accepting new patients |
Locations
150 Ave de Diego
Ste 404
Santurce, PR 00907
Phone (787) 725-9055
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- San Juan, PR
- NPI 1770568750
Ophthalmology, PR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384128000000",
"number": "1104800630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41281",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009401281",
"telephone_number": "787-725-9315",
"fax_number": "787-724-4654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 AVE DE DIEGO",
"address_2": "SUITE 404",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009072300",
"telephone_number": "787-725-9315",
"fax_number": "787-724-4654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERROCAL-FERNANDEZ",
"first_name": "MARIA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2013-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PR",
"license": "9358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MHB OPHTHALMICS",
"last_name": "PSC",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
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 Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.