SOUTHERN RETINA CONSULTANTS PSC
NPI 1154314292
Ophthalmology in Ponce, PR

Q: 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.

Q: What is Southern Retina Consultants Psc's specialty?

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

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: October 18, 2026.

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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

Phone(787) 842-2512

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

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Retina Consultants Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Retina Consultants Psc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jorge Gutierrez Dorrington, MD

Ophthalmology

NPI 1316067200

909 AVE TITO CASTRO STE 709
Ponce, PR 00716

(787) 842-2512

✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Southern Retina Consultants Psc enrolled in Medicare?

Yes. Southern Retina Consultants Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Retina Consultants Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Southern Retina Consultants Psc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.