Dr Morell S Eye Care Clinic CSP

Primary specialty

OptometristTaxonomy code 152W00000X

License

362 Issued in PR

Legal business name

DR MORELL S EYE CARE CLINIC CSP

Practice address

Calle de Diego E # 12
Edif Frontera
Mayaguez, PR 00680-4866

Phone

(787) 805-1040

Fax

(787) 652-4151

NPI assigned

Dec 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Jose Morell, O.D

Title

President

Phone

(787) 805-1040

Specialties & licenses 1

Addresses

Other names 1

• DR MORELL S EYE CARE CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manuel J Morell Agrinsoni, O.D.

  • Optometrist
  • Mayaguez, PR
  • NPI 1467412890
  Medicare reassignment

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1780920181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE DE DIEGO E # 12",
            "address_2": "EDIF FRONTERA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804866",
            "telephone_number": "787-805-1040",
            "fax_number": "787-652-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DE DIEGO E # 12",
            "address_2": "EDIF FRONTERA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804866",
            "telephone_number": "787-805-1040",
            "fax_number": "787-652-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MORELL S EYE CARE CLINIC CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "MORELL",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-805-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR MORELL S EYE CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Norman Domenech Jr.
• Waleska M Donato, DPM
• Jose Juan Doreste Santiago, DNP, CRNA
• Dr Eduardo E Rodes Oliver CSP
• Dr Miguel a. Velasco Medicina Interna-CSP
• Dr Osvaldo Dario Bazil Mieses Medical Services LLC
• Dr Samuel Melendez Internal Medicine Services PSC
• Dr. Albin Martinez Lugo, Ginecologo-Obstetra, C.S.P.
• Dr. Carlos M. Martinez Rivera CSP
• Dr. Edgar Perez Dental Office PSC

• Optometrist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.