Active NPI
Carmen M Suarez-Castro, O.D
- Low Vision Rehabilitation Optometrist
- San Juan, PR
National Provider Identifier
1295816395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 193
- Practice address
- 369 Ave Domenech
San Juan, PR 00918-3708 - Phone
- (787) 754-0814
- Fax
- (787) 756-5823
- NPI assigned
- Oct 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 193 | PR | Primary |
Addresses
Primary practice location
369 Ave Domenech
San Juan, PR 00918-3708
Mailing address
Ave. Domenech 369
Hato Rey, PR 00918
Phone (787) 754-0814
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077108 | Other | PR | PROVIDER CRUZ AZUL |
| 58033 | Other | PR | PROVIDER T-SSS |
| 3465 | Other | PR | PROVIDER FIRST MEDICAL |
| 624 | Other | PR | PROVIDER COSVI |
| 9170025 | Other | PR | PROVIDER HUMANA PR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
369 Calle Manuel Domenech
San Juan, PR 00918-3708
Phone (787) 754-0814
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 193 | PR | MD | Medical Physician Assistant |
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, 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": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295816395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE. DOMENECH 369",
"city": "HATO REY",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-754-0814",
"fax_number": "787-756-5823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 AVE DOMENECH",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183708",
"telephone_number": "787-754-0814",
"fax_number": "787-756-5823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ-CASTRO",
"first_name": "CARMEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "PR",
"license": "193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER CRUZ AZUL",
"identifier": "077108",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER T-SSS",
"identifier": "58033",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER FIRST MEDICAL",
"identifier": "3465",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER COSVI",
"identifier": "624",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER HUMANA PR",
"identifier": "9170025",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Carlos Julio Suarez Medina, RN, BSN, MSN
- Marjolaine Ann Suarez Ratcliffe, MD
- Carmen Suarez Rosado, AUD
- Helen Suarez Sanchez, M.D.
- Zulmaris Sofia Suarez Santiago, MA
- Albert Suarez-Dominguez, M.D
- Juan R Suarez-Pesante, MD
- Angela Elena Suarez-Ruiz, M.D.
- Carmen Rosa Suarez, CD(DONA), LCCE
- Juan Francisco Suarez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.