Organization Active NPI

Infinity Laser PSC

  • Ophthalmology Physician
  • Guaynabo, PR
National Provider Identifier
1942560271
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
INFINITY LASER PSC
Practice address
Carr 165 KM 1.2 #48
Suite 117 City View Plaza
Guaynabo, PR 00968-8047
Phone
(787) 775-2020
Fax
(787) 775-2010
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Vivian Cruz
Title
Coordinator
Phone
(787) 775-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

Carr 165 KM 1.2 #48
Suite 117 City View Plaza
Guaynabo, PR 00968-8047

Mailing address

Carr 165 # KM1
Suite 117 City View Plaza
Guaynabo, PR 00968-8058
Phone (787) 775-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130618000229 PR Part B Supplier - Clinic/Group Practice 6204075500 Receives reassigned benefits from 2 practitioners
Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1942560271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 165 # KM1",
            "address_2": "SUITE 117 CITY VIEW PLAZA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688058",
            "telephone_number": "787-775-2020",
            "fax_number": "787-775-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 165 KM 1.2 #48",
            "address_2": "SUITE 117 CITY VIEW PLAZA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688047",
            "telephone_number": "787-775-2020",
            "fax_number": "787-775-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY LASER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "787-775-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.

Verify at the official NPI Registry.