Organization Active NPI

Guayacan Visual Care Management Inc

  • Health Maintenance Organization
  • Aibonito, PR
National Provider Identifier
1235523374
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
499 Issued in PR
Legal business name
GUAYACAN VISUAL CARE MANAGEMENT INC
Practice address
204 Calle Julio Cintron
Edif Guayacan Suite 110
Aibonito, PR 00705-3311
Phone
(787) 735-5744
Fax
(787) 735-5744
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Dr. Gladys H Cobian Ayala, O.D.NPI 1831132661
Title
Optometrist Owner
Phone
(787) 735-5744

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
Health Maintenance Organization 302R00000X 499 PR Primary

Addresses

Primary practice location

204 Calle Julio Cintron
Edif Guayacan Suite 110
Aibonito, PR 00705-3311

Mailing address

204 Calle Julio Cintron
Edif Guayacan Suite 110
Aibonito, PR 00705-9989
Phone (787) 735-5744

Other names 1

  • COBIAN VISUAL CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151208000710 PR Part B Supplier - Clinic/Group Practice 8426358870 Receives reassigned benefits from 1 practitioner
Practice locations: Aibonito, PR

National Provider Directory

National Provider Directory

Locations

204 Calle Julio Cintron
Ste 110
Aibonito, PR 00705
Phone (787) 735-5744

204 Calle Julio Cintron
Aibonito, PR 00705
Phone (787) 735-2825

204 Calle Julio Cintron
Ste 109
Aibonito, PR 00705
Phone (787) 735-5744

Practitioners & affiliated clinicians

Practitioners 1

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": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1235523374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CALLE JULIO CINTRON",
            "address_2": "EDIF GUAYACAN SUITE 110",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007059989",
            "telephone_number": "787-735-5744",
            "fax_number": "787-735-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CALLE JULIO CINTRON",
            "address_2": "EDIF GUAYACAN SUITE 110",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053311",
            "telephone_number": "787-735-5744",
            "fax_number": "787-735-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAYACAN VISUAL CARE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "COBIAN AYALA",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "787-735-5744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COBIAN VISUAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aibonito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.