Organization Active NPI

Retina Center of Puerto Rico P S C

  • Ophthalmology Physician
  • Manati, PR
National Provider Identifier
1477945533
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME87876 Issued in FL
Legal business name
RETINA CENTER OF PUERTO RICO P S C
Practice address
Marginal Carretera No 2, KM 47 7
Torre Medica 2 Suite 260
Manati, PR 00674
Phone
(787) 854-1900
Fax
(787) 854-1918
NPI assigned
Feb 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Dr. Luma Al-Attar, M.DNPI 1184667792
Title
Owner
Phone
(787) 854-1900

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME87876 FL Primary

Addresses

Primary practice location

Marginal Carretera No 2, KM 47 7
Torre Medica 2 Suite 260
Manati, PR 00674

Mailing address

Carr 693
PMB 152
Dorado, PR 00646-6706
Phone (787) 854-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150625000504 PR Part B Supplier - Clinic/Group Practice 2668783168 Receives reassigned benefits from 1 practitioner
Practice locations: Manati, PR

National Provider Directory

National Provider Directory

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1477945533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 693",
            "address_2": "PMB 152",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006466706",
            "telephone_number": "787-854-1900",
            "fax_number": "787-854-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARGINAL CARRETERA NO 2, KM 47 7",
            "address_2": "TORRE MEDICA 2 SUITE 260",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-1900",
            "fax_number": "787-854-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CENTER OF PUERTO RICO P S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "AL-ATTAR",
        "authorized_official_first_name": "LUMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-854-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME87876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.