Active NPIOrganization

Southern Retina Consultants Psc

Ophthalmology in Ponce, Puerto Rico

NPI Number1154314292
Practice location
909 Ave Tito Castro, Suite 709, Ponce, PR 00716-4728
Fax
787-840-6966
Last updated
March 25, 2009

Southern Retina Consultants Psc is a healthcare organization based in Ponce, PR. Southern Retina Consultants Psc practices in Ponce, PR. The NPI Number for Southern Retina Consultants Psc is 1154314292 and holds a License No. 11622 (PR). The current practice location address for Southern Retina Consultants Psc is 909 Ave Tito Castro, Suite 709, Ponce, PR 00716-4728 and can be reached out via phone at 787-842-2512 and via fax at 787-840-6966.

Provider Profile Details

NPI Number
1154314292
Provider Name
Southern Retina Consultants Psc
Provider Entity Type
Organization
Address
909 Ave Tito Castro, Suite 709, Ponce, PR 00716-4728
Phone Number
787-842-2512
Fax Number
787-840-6966
Primary Taxonomy
Ophthalmology · 207W00000X
Organization Subpart
No
Authorized Official
Dr. Jorge H Gutierrez-Dorrington, MD · President · 787-842-2512
Provider Enumeration Date
August 24, 2005
Last Update Date
March 25, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
909 Ave Tito Castro
Suite 709
Ponce, PR 00716-4728
City
Ponce
Zip
00716-4728
Phone Number
787-842-2512
Fax Number
787-840-6966
Ponce, PR 00716Get directions →

Provider Business Mailing Address Details

Address
Po Box 801089
Coto Laurel, PR 00780-1089
City
Coto Laurel
State
PR
Zip
00780-1089
Phone Number
787-842-2512
Fax Number
787-840-6966

License Information

License Number
11622
License State
PR
Taxonomy
Ophthalmology · 207W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Southern Retina Consultants Psc?

The NPI number of Southern Retina Consultants Psc is 1154314292. It was assigned on August 24, 2005 and is currently active in the NPPES registry.

What is the specialty of Southern Retina Consultants Psc?

Southern Retina Consultants Psc is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in PR under license number 11622.

Where does Southern Retina Consultants Psc practice?

The practice location is 909 Ave Tito Castro, Suite 709, Ponce, PR 00716-4728. The office can be reached at 787-842-2512 (phone) or 787-840-6966 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154314292 directly on the NPPES registry website.

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