Individual provider Active NPI

Maria H Berrocal-Fernandez, MD

  • Ophthalmology Physician
  • San Juan, PR
National Provider Identifier
1104800630
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9358 Issued in PR
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

Updated by the provider on Nov 11, 2013

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 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 Professional name

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
I20131115000932 PR Practitioner - OphthalmologyPractitioner - Optometry 3476570862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Optometry
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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery213

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Diagnostico Y Tratamiento Oftalmologico, Inc Ophthalmology CurrentSince Jun 23, 2019 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.

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

Verify at the official NPI Registry.