Centro Oftalmologico del Sur, PSC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20679 Issued in PR

Legal business name

CENTRO OFTALMOLOGICO DEL SUR, PSC

Practice address

27 Enrique Gonzalez St.
Guayama, PR 00784

Phone

(787) 864-2010

NPI assigned

Jul 24, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Luis A. Santiago, MD

Title

President

Phone

(787) 864-2010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis Alberto Santiago Caban, MD

  • Ophthalmology Physician
  • Guayama, PR
  • NPI 1700018835
  Medicare reassignment NPD
• Carlos J Vives Alvarado, MD

  • Ophthalmology Physician
  • Rio Piedras, PR
  • NPI 1902207459
  NPD

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730602525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ENRIQUE GONZALEZ ST.",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ENRIQUE GONZALEZ ST.",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO OFTALMOLOGICO DEL SUR, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-864-2010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "20679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro de Terapia Fisica Green Hills, PSC
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• Centro Interdiciplinario Psicoeducativo
• Centro Obstetrico Area Sur Este
• Centro Obstetrico Y Ginecologico Incorporado
• Centro Psicoterapeutico del Sur Corp
• Centro Psicoterapeutico Integrado Sinergia
• Lorena E Chanes, PA
• Hector Luis Cintron Jeremias, M.D.
• Yajaira Cintron Lugo, PSY-D

• Ophthalmology Physician in Guayama, PR
• Providers in Guayama, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.