MHB Ophthalmics, PSC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9358 Issued in PR

Legal business name

MHB OPHTHALMICS, PSC

Practice address

Ave de Diego 150 Esq. Baldorioty
Oficina 404 SJHC
San Juan, PR 00907

Phone

(787) 725-9315

Fax

(787) 724-4654

NPI assigned

Oct 9, 2008

Last updated

Nov 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria H. Berrocal, MD

Title

Ophthalmologist-Retinologist

Phone

(787) 725-9315

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria H Berrocal-Fernandez, MD

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1104800630
  Medicare reassignment

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1508017419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41281",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009401281",
            "telephone_number": "787-725-9315",
            "fax_number": "787-724-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE DE DIEGO 150 ESQ. BALDORIOTY",
            "address_2": "OFICINA 404 SJHC",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-725-9315",
            "fax_number": "787-724-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHB OPHTHALMICS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "BERROCAL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST-RETINOLOGIST",
        "authorized_official_telephone_number": "787-725-9315",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "9358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eduardo Antonio Michelen Gomez, MD
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• Ophthalmology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.