Organization Active NPI

Southwest Optical Corp

  • Ophthalmology Physician
  • San German, PR
National Provider Identifier
1386707891
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12252 Issued in PR
Legal business name
SOUTHWEST OPTICAL CORP
Practice address
Edif Raly #1
Calle Luna Esq Casto Perez
San German, PR 00683-1071
Phone
(787) 892-3340
Fax
(787) 892-5135
NPI assigned
Dec 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Silva Caraballo, MDNPI 1144219379
Title
Owner
Phone
(787) 892-3340

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
Ophthalmology Physician 207W00000X 12252 PR Primary

Addresses

Primary practice location

Edif Raly #1
Calle Luna Esq Casto Perez
San German, PR 00683-1071

Mailing address

PO Box 1071
San German, PR 00683-1071
Phone (787) 892-3340

National Provider Directory

National Provider Directory

Locations

1 Calle Un
San German, PR 00683
Phone (787) 892-3340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386707891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1071",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006831071",
            "telephone_number": "787-892-3340",
            "fax_number": "787-892-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF RALY #1",
            "address_2": "CALLE LUNA ESQ CASTO PEREZ",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006831071",
            "telephone_number": "787-892-3340",
            "fax_number": "787-892-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST OPTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SILVA CARABALLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-892-3340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "12252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.