Individual provider Active NPI

Luis R De Corral, MD

  • Ophthalmology Physician
  • San Juan, PR
National Provider Identifier
1245291194
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7403 Issued in PR
Practice address
Ave Jesus T Pinero 1250 Caparra Terrace
Centro Oftalmologico Metropolitano CSP
San Juan, PR 00921
Phone
(787) 781-2565
Fax
(787) 782-9524
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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 7403 PR Primary

Addresses

Primary practice location

Ave Jesus T Pinero 1250 Caparra Terrace
Centro Oftalmologico Metropolitano CSP
San Juan, PR 00921

Mailing address

PO Box 10431
San Juan, PR 00922-0431
Phone (787) 781-2565

Other names 1

  • Luis R De Corral 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
I20080805000559 PR Practitioner - Ophthalmology 0941396667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro Oftalmologico Metropolitano CSPGroup PAC ID 4587655204, 20 clinicians

Practice addresses (Care Compare)

1114 Ave Jesus T Pinero
San Juan, PR 00921-1722
Phone (787) 781-3020

1250 Ave Jesus T Pinero
San Juan, PR 00921-1616
Phone (787) 781-3020

Merit-based Incentive Payment System (MIPS)

Final score
61.01 of 100Reported as group
Quality
75.55
Promoting interoperability
0
Improvement activities
40
Cost
77.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Oftalmologico Metropolitano CSP Ophthalmology Current Accepting new patients
Centro Oftalmologico Metropolitano CSP Ophthalmology CurrentSince Oct 1, 1984 Accepting new patients

Locations

1250 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 781-2565

1114 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 781-3020

Interoperability endpoints

  • Direct secure messaging: ldecorral@centofmet.direct.eyemdemr.com

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, 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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1245291194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10431",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220431",
            "telephone_number": "787-781-2565",
            "fax_number": "787-782-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE JESUS T PINERO 1250 CAPARRA TERRACE",
            "address_2": "CENTRO OFTALMOLOGICO METROPOLITANO CSP",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-781-2565",
            "fax_number": "787-782-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CORRAL",
        "first_name": "LUIS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "7403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "DE CORRAL",
            "middle_name": "R",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.