EASTERN RETINA CONSULTANTS OF PUERTO RICO, PSC
NPI 1831505841
Ophthalmology in Humacao, PR

Active since July 10, 2014CLIA 40D2346003 · Waiver
#15 AVE. PADRE RIVERA, HUMACAO, PR 00791(787) 852-6825(787) 850-5005 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Eastern Retina Consultants Of Puerto Rico, Psc NPPES

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

EASTERN RETINA CONSULTANTS OF PUERTO RICO, PSC (NPI 1831505841) is a healthcare organization registered as an ophthalmology in Humacao, Puerto Rico and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through June 22, 2028 and lists Gabriel Alberto Benitez Bajandas, President, as its authorized official.

NPPES Registry Identity

NPI1831505841
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEASTERN RETINA CONSULTANTS OF PUERTO RICO, PSC
Location Address#15 AVE. PADRE RIVERAHumacao, PR 00791
Mailing Address#15 Ave. Padre RiveraHumacao, PR 00791 · (787) 852-6825 · Fax (787) 850-5005
Fax(787) 850-5005
Organization SubpartNo
Authorized OfficialGabriel Alberto Benitez BajandasPresident · (787) 697-1171
Enumeration DateJuly 10, 2014
✔ NPI 1831505841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PR · 339876
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.

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)

Eastern Retina Consultants Of Puerto Rico, Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Eastern Retina Consultants Of Puerto Rico, Psc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Ophthalmology
NPI 1821282021
125 CALLE FONT MARTELO E
Humacao, PR 00791
(787) 852-6825
✔ PECOS✔ Accepts Medicare
Ophthalmology
NPI 1437598026
125 AVE FONT MARTELO E
Humacao, PR 00791
(787) 852-6825
✔ PECOS✔ Accepts Medicare
Ophthalmology
NPI 1699084723
100 PASEO SAN PABLO STE 502 EDIFICIO DR. ARTURO CADILLA
Bayamon, PR 00961
(787) 269-4646
✔ PECOS✔ Accepts Medicare
Ophthalmology
NPI 1922295930
METRO PAVIA CLINIC AVE INDUSTRIAL VICTOR ROJAS
Arecibo, PR 00612
(787) 820-8989
✔ 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 40D2346003

Eastern Retina Consultants Of Pr, Psc · Humacao, PR
Active · expires Jun 22, 2028
CLIA Number40D2346003
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorDr. Gabriel Benitez
Laboratory Phone(787) 852-6825
Laboratory LocationEastern Retina Consultants Of Pr, Psc125 E Ave Font Martelo, Humacao, PR 00791
CLIA data matches this NPI record on: 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 Eastern Retina Consultants Of Puerto Rico, Psc's NPI number?

The NPI number for Eastern Retina Consultants Of Puerto Rico, Psc is 1831505841. It was assigned to this organization in the NPPES registry on July 10, 2014.

Where is Eastern Retina Consultants Of Puerto Rico, Psc located?

Eastern Retina Consultants Of Puerto Rico, Psc is located at #15 Ave. Padre Rivera, Humacao, PR 00791. The listed phone number is (787) 852-6825.

What is Eastern Retina Consultants Of Puerto Rico, Psc's specialty?

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

Is Eastern Retina Consultants Of Puerto Rico, Psc enrolled in Medicare?

Yes. Eastern Retina Consultants Of Puerto Rico, Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Retina Consultants Of Puerto Rico, Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Eastern Retina Consultants Of Puerto Rico, 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 Eastern Retina Consultants Of Puerto Rico, Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 40D2346003) is associated with this NPI, valid through June 22, 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 Eastern Retina Consultants Of Puerto Rico, Psc was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.