Organization Active NPI

Oficina de Oftalmologia Dr Emilio a Baez Rivera, CSP

  • Ophthalmology Physician
  • Caguas, PR
National Provider Identifier
1497776108
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
013195 Issued in PR
Legal business name
OFICINA DE OFTALMOLOGIA DR EMILIO A BAEZ RIVERA, CSP
Practice address
81 Ave Luis Munoz Marin Ste 201
Caguas, PR 00725-3883
Phone
(787) 258-2237
Fax
(787) 747-0964
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Mrs. Diana V Santana
Title
Billing Director
Phone
(787) 314-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 013195 PR Primary

Addresses

Primary practice location

81 Ave Luis Munoz Marin Ste 201
Caguas, PR 00725-3883

Mailing address

PO Box 4952
PMB 580
Caguas, PR 00726-4952
Phone (787) 258-2237

Other names 1

  • OFICINA DE OFTALMOLOGIA DR EMILIO A BAEZ RIVERA, CSP Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080508000441 PR Part B Supplier - Clinic/Group Practice 6800975350 Receives reassigned benefits from 2 practitioners
Practice locations: Caguas, PR; Rio Piedras, PR

National Provider Directory

National Provider Directory

Locations

2D28 Ave Pino
Caguas, PR 00725
Phone (787) 258-2237

81 Ave Luis Munoz Marin
Ste 201
Caguas, PR 00725
Phone (787) 258-2237

Practitioners & affiliated clinicians

Practitioners 2

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1497776108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4952",
            "address_2": "PMB 580",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264952",
            "telephone_number": "787-258-2237",
            "fax_number": "787-747-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 AVE LUIS MUNOZ MARIN STE 201",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253883",
            "telephone_number": "787-258-2237",
            "fax_number": "787-747-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFICINA DE OFTALMOLOGIA DR EMILIO A BAEZ RIVERA, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "787-314-2929",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "013195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OFICINA DE OFTALMOLOGIA DR EMILIO A BAEZ RIVERA, CSP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.