Guaynabo Eye & Ear Group PSC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9651 Issued in PR

Legal business name

GUAYNABO EYE & EAR GROUP PSC

Practice address

1510 Ave FD Roosevelt
Mezzanine Suite B
Guaynabo, PR 00968-2695

Phone

(787) 706-4334

Fax

(787) 749-0993

NPI assigned

Apr 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ramon R Berrios, MDNPI 1407859820

Title

Treasurer

Phone

(787) 706-4334

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Ramon R Berrios, M.D.

  • Ophthalmology Physician
  • Guaynabo, PR
  • NPI 1407859820
  Medicare reassignment Care Compare group NPD Authorized official
• Lisette Y. Perez Diaz, M.D.

  • Otolaryngology Physician
  • Guaynabo, PR
  • NPI 1285637504
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1801215579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1036",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009701036",
            "telephone_number": "787-706-4334",
            "fax_number": "787-749-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 AVE FD ROOSEVELT",
            "address_2": "MEZZANINE SUITE B",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682695",
            "telephone_number": "787-706-4334",
            "fax_number": "787-749-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAYNABO EYE & EAR GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "BERRIOS",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "787-706-4334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "9651",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "11652",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guaynabo Ambulatory Surgical Group, Inc
• Guaynabo Dental Care
• Guaynabo Emergency Medicine, LLC
• Guaynabo Endocrinology Center P.S.C.
• Guaynabo Eye & Ear Group
• Guaynabo Geriatric Clinic
• Guaynabo Gynecological Clinic
• Guaynabo Health Providers, Corp.
• Guaynabo Health Providers, Corp.
• Guaynabo Health Providers, Corp.

• Ophthalmology Physician in Guaynabo, PR
• Providers in Guaynabo, 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 Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.