Active NPI
Paola C Guzman Santiago, OD
- Optometrist
- Carolina, PR
National Provider Identifier
1720958754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 786
- Practice address
- 11310 Ave 65 Infanteria # KM12.3
Carolina, PR 00987-8797 - Phone
- (787) 769-2477
- NPI assigned
- Nov 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 786 | PR | Primary |
Addresses
Primary practice location
11310 Ave 65 Infanteria # KM12.3
Carolina, PR 00987-8797
Mailing address
185 Calle Costa Rica Apt 803
San Juan, PR 00917-2542
Phone (224) 715-1989
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260615003161 | PR | Practitioner - Optometry | 8628540218 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
130 Marginal MTZ Nadal
Los Jardines Shopping Ctr
Guaynabo, PR 00970
185 Calle Costa Rica
Apt 803
San Juan, PR 00917
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 786 | PR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyemed CSP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Carolina, PR
- NPI 1427551530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1720958754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 CALLE COSTA RICA APT 803",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009172542",
"telephone_number": "224-715-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11310 AVE 65 INFANTERIA # KM12.3",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009878797",
"telephone_number": "787-769-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN SANTIAGO",
"first_name": "PAOLA",
"middle_name": "C",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-05",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PR",
"license": "786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.