NPIMap

Organization Active NPI

Corozal Vision Care, LLC

  • Optometrist
  • Mayaguez, PR
National Provider Identifier
1912623471
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COROZAL VISION CARE, LLC
Doing business as
Mayaguez Vision Care
Practice address
Carr #2 KM 156.5 Office Park I Suite 206
Mayaguez, PR 00681
Phone
(787) 621-3700
Fax
(787) 621-3762
NPI assigned
Oct 17, 2022
Organization subpart
Yes
Parent organization
COROZAL VISION CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Pedro Narvaez Sr.
Title
Director Contrataciones
Phone
(787) 621-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

Carr #2 KM 156.5 Office Park I Suite 206
Mayaguez, PR 00681

Mailing address

PO Box 634
Corozal, PR 00783-0634
Phone (787) 621-3700

Other names 2

  • Mayaguez Vision Care Doing business as
  • BMC Realty III,LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Corozal Vision Care LLC2 organizations share this tax ID, including this one
Part of
Corozal Vision Care LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1912623471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007830634",
            "telephone_number": "787-621-3700",
            "fax_number": "787-621-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 156.5 OFFICE PARK I SUITE 206",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00681",
            "telephone_number": "787-621-3700",
            "fax_number": "787-621-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COROZAL VISION CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COROZAL VISION CARE, LLC",
        "enumeration_date": "2022-10-17",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "NARVAEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "DIRECTOR CONTRATACIONES",
        "authorized_official_telephone_number": "787-621-3700",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayaguez Vision Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BMC Realty III,LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.