Active NPI
Retina Center of Puerto Rico P S C
- Ophthalmology Physician
- Manati, PR
National Provider Identifier
1477945533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME87876
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luma Al-Attar, M.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150625000504 | PR | Part B Supplier - Clinic/Group Practice | 2668783168 |
Receives reassigned benefits from 1 practitioner Practice locations: Manati, PR |
National Provider Directory
National Provider DirectoryPractitioners 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.