Individual provider Active NPI

Joel Castro-Toledo

  • Optometrist
  • Arecibo, PR
National Provider Identifier
1265581854
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3511 Issued in PR
Practice address
Ave Jose a Cedeno
Arecibo Shopping Center Suite #6
Arecibo, PR 00612
Phone
(787) 880-3362
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3511 PR Primary

Addresses

Primary practice location

Ave Jose a Cedeno
Arecibo Shopping Center Suite #6
Arecibo, PR 00612

Mailing address

PO Box 141176
Arecibo, PR 00614-1176
Phone (787) 510-8184

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
I20160915000827 PR Practitioner - Optometry 5193011203 Reassigns benefits to 1 organization
Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3511PRMDGeneral Practice Dentistry
441PRMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Servicios Primarios de Salud,Inc. Current Accepting new patients
Centro de Servicios Primarios de Salud Inc CurrentSince Jan 26, 2018 Accepting new patients
Quality Vision Center Inc Optometrist Past Accepting new patients

Locations

3 Calle Antonio Alcazar
Florida, PR 00650
Phone (787) 822-2170

Organizations & group practices 3

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1265581854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141176",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141176",
            "telephone_number": "787-510-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE JOSE A CEDENO",
            "address_2": "ARECIBO SHOPPING CENTER SUITE #6",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-880-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO-TOLEDO",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "3511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.