Centro de Cirugia Ambulatoria Laser Medico Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

3 CNC 97 206 Issued in PR

Legal business name

CENTRO DE CIRUGIA AMBULATORIA LASER MEDICO INC

Practice address

Medical Ophthalmic Plaza
1875 Carr 2 Suite 303
Bayamon, PR 00959-7217

Phone

(787) 780-0404

Fax

(787) 780-0411

NPI assigned

Jan 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marcel P Tollinche, M.D.

Title

President

Phone

(787) 780-0404

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

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

• Robert Boada, MD

  • Retina Specialist (Ophthalmology) Physician
  • Bayamon, PR
  • NPI 1578527396
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1962472845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL OPHTHALMIC PLAZA",
            "address_2": "1875 CARR 2 SUITE 303",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597217",
            "telephone_number": "787-780-0404",
            "fax_number": "787-780-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL OPHTHALMIC PLAZA",
            "address_2": "1875 CARR 2 SUITE 303",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597217",
            "telephone_number": "787-780-0404",
            "fax_number": "787-780-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE CIRUGIA AMBULATORIA LASER MEDICO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "TOLLINCHE",
        "authorized_official_first_name": "MARCEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-780-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PR",
            "license": "3 CNC 97 206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULATORY SURGERY CENTER",
            "identifier": "3CNC97206",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Advance Cognitive Studies LLC
• Centro Audiologico de Puerto Rico Inc
• Centro Cardiologico de Bayamon
• Centro Clinico de Disturbios del Sueno
• Centro de Ayuda Psicologica Y de Talleres Educativos
• Centro de Cirugia Urologica Ambulatoria, LLC
• Centro de Diagnostico Pulmonar
• Centro de Endocrinologia Alcantara Gonzalez, LLC
• Centro de Endocrinologia Integral LLC
• Centro de Epidemiologia

• All providers in Bayamon, PR
• Ambulatory Surgical Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.