Individual provider Active NPI

Pedro J Gorbea Landron, OD OPTOMETRISTS

  • Optometrist
  • San Juan, PR
National Provider Identifier
1730140674
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
328 Issued in PR
Practice address
Ave Jesus T Pinero #1250 Caparra Terrace
San Juan, PR 00921
Phone
(787) 781-2565
Fax
(787) 782-9524
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 328 PR Primary

Addresses

Primary practice location

Ave Jesus T Pinero #1250 Caparra Terrace
San Juan, PR 00921

Mailing address

PO Box 10431
San Juan, PR 00922-0431
Phone (787) 781-2565

Other names 1

  • Pedro J Gorbea Landron Sr. Professional name

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
I20081226000030 PR Practitioner - Optometry 0840352936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro Oftalmologico Metropolitano CSPGroup PAC ID 4587655204, 20 clinicians

Practice addresses (Care Compare)

1250 Ave Jesus T Pinero
San Juan, PR 00921-1616
Phone (787) 781-3020

Merit-based Incentive Payment System (MIPS)

Final score
61.01 of 100Reported as group
Quality
75.55
Promoting interoperability
0
Improvement activities
40
Cost
77.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Oftalmologico Metropolitano CSP CurrentSince Oct 1, 1984 Accepting new patients

Locations

10 Calle Un E
Fajardo, PR 00738
Phone (787) 863-9052

1250 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 781-2565

1114 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 781-3020

Organizations & group practices 1

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1730140674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10431",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220431",
            "telephone_number": "787-781-2565",
            "fax_number": "787-782-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE JESUS T PINERO #1250 CAPARRA TERRACE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-781-2565",
            "fax_number": "787-782-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORBEA LANDRON",
        "first_name": "PEDRO",
        "middle_name": "J",
        "credential": "OD OPTOMETRISTS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEDRO",
            "last_name": "GORBEA LANDRON",
            "middle_name": "J",
            "suffix": "SR.",
            "credential": "OD OPTOMETRIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.