Active NPI
Eileen Marrero, O.D.
- Optometrist
- Carolina, PR
National Provider Identifier
1407884265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 330
- Practice address
- Carr #3 KM 12.3 Ave. 65 Infanteria
Carolina
Carolina, PR 00985 - Phone
- (787) 769-2477
- Fax
- (787) 276-0065
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 330 | PR | Primary |
Addresses
Primary practice location
Carr #3 KM 12.3 Ave. 65 Infanteria
Carolina
Carolina, PR 00985
Mailing address
PO Box 190990 Hato Rey Station
San Juan Puerto Rico
San Juan, PR 00919-0990
Phone (787) 769-2477
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330 | PR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Instituto de Ojos Y Piel | Current | Accepting new patients | |
| Instituto de Ojos Y Piel, Inc | Optometrist | Current | Accepting new patients |
| Instituto de Ojos Y Piel, Inc | Past | Accepting new patients |
Locations
11310 Ave 65 Infanteria
#3
Carolina, PR 00987
Phone 7877692477325
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.
-
- Optometrist
- Carolina, PR
- NPI 1073557252
-
- Anesthesiology Physician
- Carolina, PR
- NPI 1275301202
-
- Ambulatory Surgical Clinic/Center
- Carolina, PR
- NPI 1023052685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407884265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190990 HATO REY STATION",
"address_2": "SAN JUAN PUERTO RICO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009190990",
"telephone_number": "787-769-2477",
"fax_number": "787-276-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR #3 KM 12.3 AVE. 65 INFANTERIA",
"address_2": "CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-769-2477",
"fax_number": "787-276-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO",
"first_name": "EILEEN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.