Provider Demographics
NPI:1558680595
Name:CARIBBEAN OPHTHALMOLOGY SPECIALISTS & CO PSC
Entity Type:Organization
Organization Name:CARIBBEAN OPHTHALMOLOGY SPECIALISTS & CO PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTOBAL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRUZ COLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-585-4361
Mailing Address - Street 1:PO BOX 8981
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-8981
Mailing Address - Country:US
Mailing Address - Phone:787-585-4361
Mailing Address - Fax:787-842-3277
Practice Address - Street 1:917 AVE TITO CASTRO
Practice Address - Street 2:SUITE 709
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-4717
Practice Address - Country:US
Practice Address - Phone:787-585-4361
Practice Address - Fax:787-842-3277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-28
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17584207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty