Individual provider Active NPI

Roberto Enrique Latimer Arsuaga, O.D.

  • Optometrist
  • Bayamon, PR
National Provider Identifier
1972511350
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
237 Issued in PR
Practice address
25St.DD16
Riverview
Bayamon, PR 00961
Phone
(787) 798-9491
Fax
(787) 780-6559
NPI assigned
Aug 3, 2006
Last updated
Apr 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 237 PR Primary

Addresses

Primary practice location

25St.DD16
Riverview
Bayamon, PR 00961

Mailing address

Comerio Ave.DD16
Bayamon, PR 00961-0000
Phone (787) 798-9491

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170426000941 PR Practitioner - Optometry 5294012449 Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
237PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Visual Rio Hondo CSP Optometrist CurrentSince Oct 5, 2021 Accepting new patients

Locations

DD16 Calle 25
Bayamon, PR 00961
Phone (787) 780-6261

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1972511350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMERIO AVE.DD16",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009610000",
            "telephone_number": "787-798-9491",
            "fax_number": "787-780-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25ST.DD16",
            "address_2": "RIVERVIEW",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-798-9491",
            "fax_number": "787-780-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIMER ARSUAGA",
        "first_name": "ROBERTO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.