SOUTHERN RETINA CONSULTANTS PSC
NPI 1154314292
Ophthalmology in Ponce, PR

Active since August 24, 2005CLIA 40D2299687 · Waiver
909 AVE TITO CASTRO, SUITE 709, PONCE, PR 00716(787) 842-2512(787) 840-6966 Get Directions Write a Review

NPPES record last updated: March 25, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Retina Consultants Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN RETINA CONSULTANTS PSC (NPI 1154314292) is a healthcare organization registered as an ophthalmology in Ponce, Puerto Rico and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through February 25, 2028 and lists Jorge H Gutierrez-dorrington, President, as its authorized official.

NPPES Registry Identity

NPI1154314292
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSOUTHERN RETINA CONSULTANTS PSC
Location Address909 AVE TITO CASTRO, SUITE 709Ponce, PR 00716-4728
Mailing AddressPo Box 801089Coto Laurel, PR 00780-1089 · (787) 842-2512 · Fax (787) 840-6966
Fax(787) 840-6966
Organization SubpartNo
Authorized OfficialJorge H Gutierrez-dorringtonPresident · (787) 842-2512
Enumeration DateAugust 24, 2005
Last NPPES UpdateMarch 25, 2009
NPI 1154314292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PR · 11622
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
909 AVE TITO CASTRO, Ponce, PR 00716

Other Identifiers 2

Medicare PIN90035
Medicare UPING61738

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 40D2299687

Southern Retina Consultants, Psc · Ponce, PR
Active · expires Feb 25, 2028
CLIA Number40D2299687
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorJorge Gutierrez Dorrington
Laboratory Phone(787) 842-2512
Laboratory LocationSouthern Retina Consultants, PscTorre Medica San Lucas 909 Ave Tito Castro Ste 709, Ponce, PR 00716
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
909 AVE TITO CASTRO, TORRE MEDICA SAN LUCASSUITE 504
PONCE, PR 00716
Internal Medicine (Interventional Cardiology)
909 AVE TITO CASTRO, TORRE MEDICA SAN LUCAS SUITE 504
PONCE, PR 00716
Surgery (Plastic and Reconstructive Surgery)
909 AVE TITO CASTRO, TORRE MEDICA SAN LUCAS SUITE 502
PONCE, PR 00716
Internal Medicine (Cardiovascular Disease)
909 AVE TITO CASTRO, SUITE 623
PONCE, PR 00716
General Practice
909 AVE TITO CASTRO, STE 712 TORRE MEDICA SAN LUCAS
PONCE, PR 00716
General Acute Care Hospital (Critical Access)
909 AVE TITO CASTRO, STE 609 TORRE MEDICA SAN LUCAS
PONCE, PR 00716
Physical Medicine & Rehabilitation
909 AVE TITO CASTRO, HOSPITAL SAN LUCAS DEPT TERAPIA FISICA
PONCE, PR 00716
General Practice
909 AVE TITO CASTRO
PONCE, PR 00716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Retina Consultants Psc's NPI number?

The NPI number for Southern Retina Consultants Psc is 1154314292. It was assigned to this organization in the NPPES registry on August 24, 2005.

Where is Southern Retina Consultants Psc located?

Southern Retina Consultants Psc is located at 909 Ave Tito Castro Suite 709, Ponce, PR 00716. The listed phone number is (787) 842-2512.

What is Southern Retina Consultants Psc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Southern Retina Consultants Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 40D2299687) is associated with this NPI, valid through February 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Retina Consultants Psc was last updated on March 25, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.