Individual provider Active NPI

Giuseppe Recafina, O.D.

  • Optometrist
  • Ponce, PR
National Provider Identifier
1528118585
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
506 Issued in PR
Practice address
2050 Ponce Byp
Ste #101 del Caribe Mall
Ponce, PR 00716-1911
Phone
(787) 259-8882
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 506 PR Primary

Addresses

Primary practice location

2050 Ponce Byp
Ste #101 del Caribe Mall
Ponce, PR 00716-1911

Mailing address

Plaza Las Americas 1St Level
525 Ave Roosevelt
Hato Rey, PR 00717
Phone (787) 753-6431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141029000127 PR Practitioner - Optometry 1658592043 Practice locations: Carolina, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
506PRMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528118585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA LAS AMERICAS 1ST LEVEL",
            "address_2": "525 AVE ROOSEVELT",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-753-6431",
            "fax_number": "787-753-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 PONCE BYP",
            "address_2": "STE #101 DEL CARIBE MALL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161911",
            "telephone_number": "787-259-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECAFINA",
        "first_name": "GIUSEPPE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.