Provider Demographics
NPI:1780361238
Name:CARIBBEAN GLAUCOMA CONSULTANTS, CSP
Entity type:Organization
Organization Name:CARIBBEAN GLAUCOMA CONSULTANTS, CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:J
Authorized Official - Last Name:VILLARRUBIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-786-3652
Mailing Address - Street 1:PO BOX 458
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0458
Mailing Address - Country:US
Mailing Address - Phone:787-786-3652
Mailing Address - Fax:787-786-3653
Practice Address - Street 1:SANTA CRUZ MEDICAL BLDNG. STE. 312
Practice Address - Street 2:73 SANTA CRUZ ST.
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-786-3652
Practice Address - Fax:787-786-3653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty