Active NPI
Ojos Puerto Rico Retina, PSC
- Specialist
- San Juan, PR
National Provider Identifier
1679851406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 17473
- Legal business name
- OJOS PUERTO RICO RETINA, PSC
- Practice address
- 1890 Calle Petunia
Santa Maria
San Juan, PR 00927-6637 - Phone
- (787) 820-8989
- Fax
- (787) 820-8989
- NPI assigned
- Jul 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Stella M Casillas
- Title
- Retinologa
- Phone
- (787) 820-8989
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 17473 | PR | Primary |
Addresses
Primary practice location
1890 Calle Petunia
Santa Maria
San Juan, PR 00927-6637
Mailing address
300 Ave la Sierra Apt 101
San Juan, PR 00926-4339
Phone (787) 820-8989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17473 | Other | PR | LICENCIA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311724800000",
"number": "1679851406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 AVE LA SIERRA APT 101",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009264339",
"telephone_number": "787-820-8989",
"fax_number": "787-820-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 CALLE PETUNIA",
"address_2": "SANTA MARIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276637",
"telephone_number": "787-820-8989",
"fax_number": "787-820-8989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OJOS PUERTO RICO RETINA, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-27",
"last_updated": "2011-07-27",
"status": "A",
"authorized_official_last_name": "CASILLAS",
"authorized_official_first_name": "STELLA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "RETINOLOGA",
"authorized_official_telephone_number": "787-820-8989",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "PR",
"license": "17473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCIA",
"identifier": "17473",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.