Organization Active NPI

Caribbean Retina Consultants PSC

  • Ophthalmology Physician
  • Caguas, PR
National Provider Identifier
1508073297
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CARIBBEAN RETINA CONSULTANTS PSC
Practice address
Hima Plaza 1, Suite 400
Ave. Degetau
Caguas, PR 00725
Phone
(787) 961-4636
Fax
(787) 653-3724
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Authorized official

Name
Miss Cristina Pena
Title
Manager
Phone
(787) 961-4636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

Hima Plaza 1, Suite 400
Ave. Degetau
Caguas, PR 00725

Mailing address

PMB 644
1353, Rd 19
Guaynabo, PR 00966
Phone (787) 961-4636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080619000542 PR Part B Supplier - Clinic/Group Practice 2466523303 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR; Caguas, PR

National Provider Directory

National Provider Directory

Locations

500 Ave Degetau
Ste 400
Caguas, PR 00725
Phone (787) 961-4636

355 Ave Font Martelo
Ste 406
Humacao, PR 00791
Phone 78785207684542

Practitioners & affiliated clinicians

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1508073297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 644",
            "address_2": "1353, RD 19",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-961-4636",
            "fax_number": "787-653-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIMA PLAZA 1, SUITE 400",
            "address_2": "AVE. DEGETAU",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-961-4636",
            "fax_number": "787-653-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBBEAN RETINA CONSULTANTS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-961-4636",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 6, 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.