Bernardo Antonio Depaz Reyes, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2931 Issued in PR

Practice address

GP3 Ave Campo Rico
Country Club
Carolina, PR 00982-2677

Phone

(787) 768-2335

Fax

(787) 769-3308

NPI assigned

Oct 18, 2005

Last updated

Feb 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Ophthalmology

Education

Other, 1963

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1700875143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270187",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009282987",
            "telephone_number": "787-768-2335",
            "fax_number": "787-769-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GP3 AVE CAMPO RICO",
            "address_2": "COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822677",
            "telephone_number": "787-768-2335",
            "fax_number": "787-769-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAZ REYES",
        "first_name": "BERNARDO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "2931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elga Maytee Deliz Roldan, AU.D54
• Josue Delucca, PT
• Betzaida Deniz
• Dentalia Medika Corp
• Departamento de Salud Oficial
• Viviana Deya Quinquilla, PSY.D
• Rafael Angel Diaz Cancel, DMD
• Ismael Enrique Diaz Davila, M.D.
• Santiago E Diaz del Campo, M.D.
• Josua Dimarc Diaz Franco, NL

• Ophthalmology Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.