Individual provider Active NPI

Carlos Javier Fernandez Santos, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Caguas, PR
National Provider Identifier
1649566977
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
19484 Issued in PR
Practice address
Plaza Bairoa
PR-1 Calle Sakura, Ste 245
Caguas, PR 00725-0072
Phone
(787) 641-3030
NPI assigned
Jun 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 19484 PR
Retina Specialist (Ophthalmology) Physician 207WX0107X 19484 PR Primary

Addresses

Primary practice location

Plaza Bairoa
PR-1 Calle Sakura, Ste 245
Caguas, PR 00725-0072

Mailing address

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

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170208002539 PR Practitioner - Ophthalmology 8527341999 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University Central del Caribe Escuela de Medicina, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puerto Rico Eye InstituteGroup PAC ID 2769876028, 7 clinicians

Practice addresses (Care Compare)

PR-1 Ave Sakura Plaza Bairoa
Suite 245
Caguas, PR 00725
Phone (787) 641-3030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19484PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Eye Institute Ophthalmology CurrentSince Feb 7, 2019 Accepting new patients
Prei Bayamon Ophthalmology CurrentSince Jun 3, 2025 Accepting new patients
Ulloa Oculoplastic Surgery LLC Past Accepting new patients
Plaza Refractive Laser Center, Inc. Ophthalmology Past Accepting new patients

Locations

1 Ave Fomento
Ste 1
Caguas, PR 00725

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1649566977",
    "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": "00725",
            "telephone_number": "787-641-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA BAIROA",
            "address_2": "PR-1 CALLE SAKURA, STE 245",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007250072",
            "telephone_number": "787-641-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ SANTOS",
        "first_name": "CARLOS",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "19484",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PR",
            "license": "19484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.