Centro Optometrico Especializado de PR LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CENTRO OPTOMETRICO ESPECIALIZADO DE PR LLC

Practice address

Estancias de Rio Hondo III
CC36 Calle Ceibas
Bayamon, PR 00961-3419

Phone

(787) 798-3333

Fax

(787) 779-3900

NPI assigned

Mar 23, 2018

Last updated

Mar 23, 2018By 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

Mrs. Wilda Ivette Santiago, O.D, F. I. A. ONPI 1679562052

Title

Optometrist

Phone

(787) 200-5527

Specialties & licenses 1

Addresses

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.

• Wilda Ivette Santiago, O.D.

  • Optometrist
  • Bayamon, PR
  • NPI 1679562052
  Authorized official Same address or phone

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1851895874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL BUILDING",
            "address_2": "J23 AVE BETANCES URB HERMANAS DAVILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-200-5527",
            "fax_number": "787-779-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ESTANCIAS DE RIO HONDO III",
            "address_2": "CC36 CALLE CEIBAS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613419",
            "telephone_number": "787-798-3333",
            "fax_number": "787-779-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO OPTOMETRICO ESPECIALIZADO DE PR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "WILDA",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "787-200-5527",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D, F. I. A. O"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro Medico Puerto Rico
• Centro Medico San Jose CSP
• Centro Neymar
• Centro Oncologico Integral de Puerto Rico Inc
• Centro Oncologico Integral de Puerto Rico Inc
• Centro Pediatrico Buena Vista, Inc.
• Centro Preescolar Y Estudios Complementarios Nim. Inc.
• Centro Psiquiatrico de Bayamon Corp
• Centro Quiropractico Holistico PSC (Centro Quiropractico)
• Centro Quiropractico Jose Bobonis PSC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.