Individual provider Active NPI

Paola C Guzman Santiago, OD

  • Optometrist
  • Carolina, PR
National Provider Identifier
1720958754
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
786 Issued in PR
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

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
786PRMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eyemed CSP PastSince Nov 9, 2025 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.

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

Verify at the official NPI Registry.