Juan M Ortiz Colon Sr, OD | |
950 Carr 891 Ste 19, Corozal, PR 00783 | |
(787) 859-7958 | |
(787) 859-7958 |
Full Name | Juan M Ortiz Colon Sr |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 950 Carr 891 Ste 19, Corozal, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376602508 | NPI | - | NPPES |
660806855 | Medicaid | PR | |
58009 | Other | PR | SSS |
660444808 | Other | MCS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 187 (Puerto Rico) | Primary |
Provider Name | Eye Center Corozal Csp |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295162915 PECOS PAC ID: 8628301538 Enrollment ID: O20190607002512 |
Mailing Address | Practice Location Address |
---|---|
Juan M Ortiz Colon Sr, OD 950 Carr 891 St 19, Corozal, PR 00783 Ph: (787) 859-7958 | Juan M Ortiz Colon Sr, OD 950 Carr 891 Ste 19, Corozal, PR 00783 Ph: (787) 859-7958 |
Eye Center Corozal Csp Optometrist Medicare: Medicare Enrolled Practice Location: 950 Corozal Plaza Carr 981, Suite 19, Corozal, PR 00783 Phone: 787-859-7958 Fax: 787-859-7958 | |
Adalberto Molina, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1 Calle Gandara, Corozal, PR 00783 Phone: 787-859-5959 Fax: 787-859-5959 | |
Karolyn Rivera Albaladejo, OD Optometrist Medicare: Medicare Enrolled Practice Location: 13.2 Carr 159 Suite 20-a, Corozal Shopping Village, Corozal, PR 00783 Phone: 787-705-8199 |