Individual provider Active NPI

Gian Carlo Murati Herrera, O.D.

  • Optometrist
  • Guaynabo, PR
National Provider Identifier
1114466935
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
725 Issued in PR
Practice address
L7 Calle Ter
Garden Hills
Guaynabo, PR 00966
Phone
(787) 504-2030
NPI assigned
Feb 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 725 PR Primary

Addresses

Primary practice location

L7 Calle Ter
Garden Hills
Guaynabo, PR 00966

Mailing address

L7 Calle Terrace
Garden Hills
Guaynabo, PR 00966-2120
Phone (787) 504-2030

Other identifiers 1

IdentifierTypeStateIssuer
725OtherPROPTOMETRY LICENSE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180919000091 PR Practitioner - Optometry 8022369891 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Ave Casa Linda 101
12 Carr 177 KM 2.0
Bayamon, PR 00959
Phone (787) 510-6663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision 2000 Express Luquillo Corp Optometrist PastSince May 25, 2013 Accepting new patients

Organizations & group practices 1

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": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1114466935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L7 CALLE TERRACE",
            "address_2": "GARDEN HILLS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662120",
            "telephone_number": "787-504-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "L7 CALLE TER",
            "address_2": "GARDEN HILLS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-504-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURATI HERRERA",
        "first_name": "GIAN",
        "middle_name": "CARLO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-13",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "725",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.