Centro Diva, Inc

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

88 Issued in PR

Legal business name

CENTRO DIVA, INC

Doing business as

CENTRO DIVA

Practice address

2830 Ave Las Americas
Ponce, PR 00717-2100

Phone

(787) 812-3518

Fax

(787) 812-3749

NPI assigned

Oct 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Tirsa M Quinones, O.D.NPI 1790010189

Title

Optometric Services Director

Phone

(787) 812-3518

Specialties & licenses 1

Addresses

Other names 1

• CENTRO DIVA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tirsa M Quinones, O.D.

  • Vision Therapy Optometrist
  • Ponce, PR
  • NPI 1790010189
  NPD (past) Authorized official

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

{
    "created_epoch": "1254528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254528000000",
    "number": "1447585856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 AVE LAS AMERICAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172100",
            "telephone_number": "787-812-3518",
            "fax_number": "787-812-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 AVE LAS AMERICAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172100",
            "telephone_number": "787-812-3518",
            "fax_number": "787-812-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DIVA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-03",
        "last_updated": "2009-10-03",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "TIRSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIC SERVICES DIRECTOR",
        "authorized_official_telephone_number": "787-812-3518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "PR",
            "license": "88",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO DIVA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centro de Quimioterapia Ambulatoria Dr Roberto Velazquez
• Centro de Salud Conductual de Ponce
• Centro de Servicios Psicologicos Resurgir, P.S.C.
• Centro de Terapia Amor
• Centro de Terapia Inisia LLC
• Centro Interdisciplinario de Salud Mental, C.S.P
• Centro Interdisciplinario Psicoeducativo
• Centro Medicina Familia Hospital Dr Pila
• Centro Medicina Pimaria Dr. Pimentel Lebron, Inc.
• Centro Medico Policlinicas de Puerto Rico, Inc.

• Vision Therapy Optometrist in Ponce, PR
• Providers in Ponce, PR by specialty
• Vision Therapy Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2009; 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.