Southern Retina Consultants PSC
NPI 1154314292ActiveOrganization· Ophthalmology· Ponce, PR
Ophthalmology in Ponce, Puerto Rico, registered in NPPES in August 2005. The authorized official on file is Jorge H. Gutierrez-Dorrington, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154314292 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 24, 2005 |
| Last updated in NPPES | Mar 25, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 11622 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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