Active NPI
Centro Oftalmologico de Arecibo Inc
- Ophthalmologic Surgery Clinic/Center
- Arecibo, PR
National Provider Identifier
1801916275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- License
- 35
- Legal business name
- CENTRO OFTALMOLOGICO DE ARECIBO INC
- Practice address
- 404 Ave de Diego
Arecibo, PR 00614 - Phone
- (787) 878-2758
- Fax
- (787) 817-3531
- NPI assigned
- Mar 30, 2007
- Last updated
- Feb 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis M Montalvo, M.D.
- Title
- President
- Phone
- (787) 878-2758
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | 35 | PR | Primary |
| Ophthalmology Physician | 207W00000X | NU |
Addresses
Primary practice location
404 Ave de Diego
Arecibo, PR 00614
Mailing address
PO Box 140819
Arecibo, PR 00614-0819
Phone (787) 878-2758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100113000611 | PR | Part B Supplier - Ambulatory Surgical Center | 4082755087 | Practice locations: Arecibo, PR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Ophthalmology Physician
- Arecibo, PR
- NPI 1376639575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392595200000",
"number": "1801916275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 140819",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006140819",
"telephone_number": "787-878-2758",
"fax_number": "787-817-3531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 AVE DE DIEGO",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00614",
"telephone_number": "787-878-2758",
"fax_number": "787-817-3531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRO OFTALMOLOGICO DE ARECIBO INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2014-02-17",
"status": "A",
"authorized_official_last_name": "MONTALVO",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-878-2758",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": "PR",
"license": "35",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
- Centro de Tratamiento Arecibo
- Centro de Tratamiento Primario del Atlantico
- Centro Fisiatrico Dr Angel Colon
- Centro Hema-Oncologico del Norte
- Centro N.J.J .Inc
- Centro Ortodontico de Arecibo
- Centro Ortodontico del Norte
- Centro Psicoterapeutico Corp
- Centro Psiquiatrico Cibao, Inc
- Centro Quiropractico Allcare Health Rehabilitation P.S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.