NPIMap

Organization Active NPI

Puerto Rico Eye Institute

  • Retina Specialist (Ophthalmology) Physician
  • Caguas, PR
National Provider Identifier
1548723158
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
PUERTO RICO EYE INSTITUTE
Practice address
Plaza Bairoa Ste 245
Ave Sakura PR#1
Caguas, PR 00725
Phone
(787) 641-3030
NPI assigned
Apr 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Dr. Carlos Javier Fernandez, MD
Title
President
Phone
(787) 641-3030

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
Glaucoma Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0009X
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X Primary
Cornea and External Diseases Specialist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0120X

Addresses

Primary practice location

Plaza Bairoa Ste 245
Ave Sakura PR#1
Caguas, PR 00725

Mailing address

Plaza Bairoa
1 Ave Fomento Suite 1
Caguas, PR 00725-5763
Phone (787) 641-3030

Other practice location 1

1995 Metro Medical
PR 2 Ste 401-410
Bayamon, PR 00959
Phone (787) 641-3030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220302001649 PR Part B Supplier - Clinic/Group Practice 2769876028 Receives reassigned benefits from 7 practitioners
Practice locations: Bayamon, PR; Caguas, PR

National Provider Directory

National Provider Directory

Locations

1 Ave Fomento
Ste 1
Caguas, PR 00725

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1548723158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA BAIROA",
            "address_2": "1 AVE FOMENTO SUITE 1",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255763",
            "telephone_number": "787-641-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA BAIROA STE 245",
            "address_2": "AVE SAKURA PR#1",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-641-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 METRO MEDICAL",
            "address_2": "PR 2 STE 401-410",
            "address_purpose": "LOCATION",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "country_code": "US",
            "telephone_number": "787-641-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUERTO RICO EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-06-13",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-641-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 13, 2025; 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.