Vitreo Retinal Consultants, PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

13255 Issued in PR

Legal business name

VITREO RETINAL CONSULTANTS, PSC

Practice address

2 Ave. KM 11.3
Bayamon Medical Plaza Suite 810
Bayamon, PR 00959

Phone

(787) 251-5280

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Robert Boada, M.D.NPI 1578527396

Title

President

Phone

(787) 251-5280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: rboada@vrcpr.intellechartdirect.net

Practitioners 1

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

• Robert Boada, MD

  • Retina Specialist (Ophthalmology) Physician
  • Bayamon, PR
  • NPI 1578527396
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1457497992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALLE RODRIGUEZ SERRA",
            "address_2": "OLYMPIC TOWER 401",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071496",
            "telephone_number": "787-251-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AVE. KM 11.3",
            "address_2": "BAYAMON MEDICAL PLAZA SUITE 810",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-251-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITREO RETINAL CONSULTANTS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "BOADA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-251-5280",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "13255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vista Care Optical LLC
• Vista Care PSC
• Visual Healers Optica
• Vita Care,LLC
• Vita Chiropractic L.L.C.
• Edymarie Vivaldi Marrero
• Michelle Vivoni
• Noemi Vizcarrondo-Acosta, M.D.
• VR Gastro PSC
• VRM Prosthodontics

• Specialist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.