MEDICARE: PUERTO RICO EYE INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207W00000X	Ophthalmology Physician
2	207WX0009X	Glaucoma Specialist (Ophthalmology) Physician
3	207WX0120X	Cornea and External Diseases Specialist Physician
4	207WX0107X	Retina Specialist (Ophthalmology) Physician

General Provider Information

NPI Number	:	1548723158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PUERTO RICO EYE INSTITUTE

Provider Business Mailing Address
First Line	:	PLAZA BAIROA
Second Line	:	1 AVE FOMENTO SUITE 1
City	:	CAGUAS
State	:	PR
Zip	:	00725-5763
Country	:	US
Telephone Number	:	787-641-3030
Fax Number	:

Provider Business Practice Location Address
First Line	:	PLAZA BAIROA STE 245
Second Line	:	AVE SAKURA PR#1
City	:	CAGUAS
State	:	PR
Zip	:	00725
Country	:	US
Telephone Number	:	787-641-3030
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CARLOS JAVIER FERNANDEZ
Credential	:	MD
Telephone Number	:	787-641-3030

Provider Enumeration Date	:	04/10/2019
Last Update Date	:	06/13/2025

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Directions to “PUERTO RICO EYE INSTITUTE ” Practice Location

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