Active NPI
Retina Care PSC
- Ophthalmology Physician
- Arecibo, PR
National Provider Identifier
1982958773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 16978
- Legal business name
- RETINA CARE PSC
- Practice address
- 58 Calle Ponce de Leon
Urb. Garcia
Arecibo, PR 00612-4315 - Phone
- (787) 680-7222
- Fax
- (787) 680-7223
- NPI assigned
- Nov 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andres Emanuelli Anzalotta, M.D.
- Title
- President
- Phone
- (787) 680-7222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 16978 | PR | Primary |
Addresses
Primary practice location
58 Calle Ponce de Leon
Urb. Garcia
Arecibo, PR 00612-4315
Mailing address
PO Box 2770
Arecibo, PR 00613-2770
Phone (787) 680-7222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LIC MD 16978 | Other | PR | LIC MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
951 Carr 891
Ste 306
Corozal, PR 00783
Phone (787) 802-1335
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Arecibo, PR
- NPI 1023213154
-
- Retina Specialist (Ophthalmology) Physician
- San Juan, PR
- NPI 1881889558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351728000000",
"number": "1982958773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2770",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006132770",
"telephone_number": "787-680-7222",
"fax_number": "787-680-7223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 CALLE PONCE DE LEON",
"address_2": "URB. GARCIA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124315",
"telephone_number": "787-680-7222",
"fax_number": "787-680-7223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETINA CARE PSC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-01",
"last_updated": "2012-11-01",
"status": "A",
"authorized_official_last_name": "EMANUELLI ANZALOTTA",
"authorized_official_first_name": "ANDRES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-680-7222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "PR",
"license": "16978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC MD",
"identifier": "LIC MD 16978",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.