Organization
CENTRO OFTALMOLOGICO METROPOLITANO CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NESTOR A MEDINA (ADMINISTRADOR)
(787) 781-3020
Entity
Organization
Contact information
Practice address
1114 AVE JESUS T PINERO, SAN JUAN, PR 00921-1722
(787) 781-3020
(787) 781-3375
Mailing address
1114 AVE JESUS T PINERO, SAN JUAN, PR 00921-1722
(787) 781-3020
(787) 781-3375
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
207WX0109X
Neuro-ophthalmology Physician
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
—
—
207WX0120X
Cornea and External Diseases Specialist Physician
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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