# CENTRO OFTALMOLOGICO METROPOLITANO CSP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033970744
- **Authorized official:** NESTOR A MEDINA (ADMINISTRADOR)
- **Authorized official phone:** (787) 781-3020

## Contact information

- **Practice address:** 1114 AVE JESUS T PINERO, SAN JUAN, PR 00921-1722
- **Practice address phone:** (787) 781-3020
- **Practice address fax:** (787) 781-3375
- **Mailing address:** 1114 AVE JESUS T PINERO, SAN JUAN, PR 00921-1722
- **Mailing address phone:** (787) 781-3020
- **Mailing address fax:** (787) 781-3375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207WX0009X | Glaucoma Specialist (Ophthalmology) Physician | — | NULL | — |
| 207WX0009X | Glaucoma Specialist (Ophthalmology) Physician | — | — | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | — |
| 207WX0109X | Neuro-ophthalmology Physician | — | NULL | — |
| 207WX0109X | Neuro-ophthalmology Physician | — | — | — |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | — | NULL | — |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | — | — | — |
| 207WX0120X | Cornea and External Diseases Specialist Physician | — | NULL | — |
| 207WX0120X | Cornea and External Diseases Specialist Physician | — | — | — |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 01/19/2024
- **Last updated:** 01/19/2024