Active NPI
Maria H Gorbea, O.D.
- Optometrist
- Bayamon, PR
National Provider Identifier
1912976051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 109
- Practice address
- Ext Villa Rica
#J12A Calle 2
Bayamon, PR 00959-5077 - Phone
- (787) 780-0677
- Fax
- (787) 749-5070
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 109 | PR | |
| Optometrist | 152W00000X | 109 | PR | Primary |
Addresses
Primary practice location
Ext Villa Rica
#J12A Calle 2
Bayamon, PR 00959-5077
Mailing address
Los Maestros
508 Carlota Matienzo
San Juan, PR 00918
Phone (787) 646-8062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081230000450 | PR | Practitioner - Optometry | 8729140645 | Practice locations: San Juan, PR; Caguas, PR; Bayamon, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
J12A Calle
Suite 2
Bayamon, PR 00959-5077
Phone (787) 780-0677
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109 | PR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1912976051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LOS MAESTROS",
"address_2": "508 CARLOTA MATIENZO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-646-8062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EXT VILLA RICA",
"address_2": "#J12A CALLE 2",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009595077",
"telephone_number": "787-780-0677",
"fax_number": "787-749-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORBEA",
"first_name": "MARIA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "PR",
"license": "109",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.