Provider Demographics
NPI:1639533151
Name:CARIBBEAN OPHTHALMOLOGY PSC
Entity Type:Organization
Organization Name:CARIBBEAN OPHTHALMOLOGY PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONAGAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-882-7766
Mailing Address - Street 1:PO BOX 968
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-0968
Mailing Address - Country:US
Mailing Address - Phone:787-882-7766
Mailing Address - Fax:
Practice Address - Street 1:125 CALLE JOSE DE DIEGO
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-5175
Practice Address - Country:US
Practice Address - Phone:787-882-7766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18530207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty