Retina Associates CSP

Primary specialty

SpecialistTaxonomy code 174400000X

License

12518 Issued in PR

Legal business name

RETINA ASSOCIATES CSP

Practice address

101 Ave San Patricio Ste 990
Maramar Plaza
Guaynabo, PR 00968-2646

Phone

(787) 625-7766

Fax

(787) 625-7768

NPI assigned

Jun 22, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Wandsy M Velez, M.D.NPI 1790747855

Title

President

Phone

(787) 625-7766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wandsy Milagros Velez, MD

  • Ophthalmology Physician
  • Guaynabo, PR
  • NPI 1790747855
  Medicare reassignment Care Compare group NPD Authorized official
• Orlando Perez, M.D.

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1275613069
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1669609210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVE SAN PATRICIO STE 990",
            "address_2": "MARAMAR PLAZA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682646",
            "telephone_number": "787-625-7766",
            "fax_number": "787-625-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVE SAN PATRICIO STE 990",
            "address_2": "MARAMAR PLAZA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682646",
            "telephone_number": "787-625-7766",
            "fax_number": "787-625-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ASSOCIATES CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "WANDSY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-625-7766",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "12518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiomara Rentas Velazquez, RPT
• Sonia Requena Mercado, 0535P
• Catherine M Resto Ortiz, MSW
• Sol Resto
• Rocio L. Reteguis, D.M.D.
• Retina Specialists of Puerto Rico, PSC
• Robert Reveron Feliciano, 1334P
• Mark Reveron Mayol
• Revive Holistic Psychology & Wellness Center
• Revive Quiropractica, LLC

• Specialist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.