Organization Active NPI

Pauling Firm Inc

  • Optometrist
  • Canovanas, PR
National Provider Identifier
1518442045
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PAULING FIRM INC
Practice address
Carr 3 KM 19.9
Edif East Medical Professional Center
Canovanas, PR 00729
Phone
(787) 256-6060
NPI assigned
Oct 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Fidel J Rodriguez Cruz, ODNPI 1427208024
Title
Optometry / Proprietor
Phone
(787) 425-7717

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

Carr 3 KM 19.9
Edif East Medical Professional Center
Canovanas, PR 00729

Mailing address

3000 Calle Coral, Cond Lago Playa
Apto 3012, Levittown
Toa Baja, PR 00949
Phone (787) 256-6060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201124001777 PR Part B Supplier - Clinic/Group Practice 8224449269 Receives reassigned benefits from 1 practitioner
Practice locations: Canovanas, PR

National Provider Directory

National Provider Directory

Locations

11 Calle Jorge Bird Leon W
Fajardo, PR 00738
Phone (787) 689-1682

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": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1518442045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CALLE CORAL, COND LAGO PLAYA",
            "address_2": "APTO 3012, LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-256-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 3 KM 19.9",
            "address_2": "EDIF EAST MEDICAL PROFESSIONAL CENTER",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-256-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULING FIRM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ CRUZ",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRY / PROPRIETOR",
        "authorized_official_telephone_number": "787-425-7717",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.