Francisco J Cordero-Vargas, OD
Individual provider Active NPI Optometrist · Guayanilla, PR
NPI 1508064478 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508064478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 00276-101 (PR)
- Practice address
- 190 Calle Luis Munoz Rivera
Guayanilla, PR 00656-1827 - Phone
- (787) 835-3623
- Fax
- (787) 840-3341
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140617000382 | PR | Practitioner - Optometry | 3072737998 | Practice locations: Guayanilla, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00276-101 | PR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Center Boutique Inc | Optometrist | Current | Accepting new patients |
| Family Vision Center Inc | Optometrist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 00276-101 | PR | Yes |
Addresses
Primary practice location
190 Calle Luis Munoz Rivera
Guayanilla, PR 00656-1827
Mailing address
190 Calle Luis Munoz Rivera
Guayanilla, PR 00656-1827
Phone (787) 835-3623
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00276-101 | Other | PR | STATE LICENSE |
Other providers in Guayanilla, PR
- Centro de Diagnostico Y Tratamiento Guayanilla
- CMG Ambulance Services, Inc.
- Noreimy Colon Ramos
- Jeanette Colon
- Community Health Education and Medical Services
- Dagmar Jomarie Correa
- Cynthia Cortes
- Gloria E Coya Villaraos
- Dra Janitza R Delgado Moura L.L.C.
- Dra. Carmen Franceschini, PSC
All providers in Guayanilla, PR · Optometrist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.