Active NPI
Jaime Jose Bravo Castro, M.D.
- Ophthalmology Physician
- San Juan, PR
National Provider Identifier
1386611960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 6250
- Practice address
- 1785 Carr 21
Hospital Metropolitano Suite 202
San Juan, PR 00921-3399 - Phone
- (787) 781-5153
- Fax
- (787) 793-8341
- NPI assigned
- Mar 2, 2006
- Last updated
- Dec 8, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 6250 | PR | Primary |
Addresses
Primary practice location
1785 Carr 21
Hospital Metropolitano Suite 202
San Juan, PR 00921-3399
Mailing address
165 Calle Reina Isabel
La Villa de Torrimar
Guaynabo, PR 00969-3284
Phone (787) 781-5153
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120308000530 | PR | Practitioner - Ophthalmology | 6507025673 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Torre del Metropolitano 1789 Carr
21 Suite 311
San Juan, PR 00921
Phone (787) 781-5153
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6250 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grupo Oftalmologia HMLN | Ophthalmology | Past | 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, 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": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512691200000",
"number": "1386611960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 CALLE REINA ISABEL",
"address_2": "LA VILLA DE TORRIMAR",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009693284",
"telephone_number": "787-781-5153",
"fax_number": "787-793-8341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1785 CARR 21",
"address_2": "HOSPITAL METROPOLITANO SUITE 202",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213399",
"telephone_number": "787-781-5153",
"fax_number": "787-793-8341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVO CASTRO",
"first_name": "JAIME",
"middle_name": "JOSE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2017-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PR",
"license": "6250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.