NPIMap

Organization Active NPI

Inter American University of Puerto Rico

  • Optometrist
  • Bayamon, PR
National Provider Identifier
1013916147
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ACADEMIC INSTITUTION Issued in PR
Legal business name
INTER AMERICAN UNIVERSITY OF PUERTO RICO
Practice address
500 John Will Harris Ave.
Bayamon, PR 00957
Phone
(787) 765-1915
Fax
(787) 767-3929
NPI assigned
Jul 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andres Pagan, O.D.
Title
Dean
Phone
(787) 765-1915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ACADEMIC INSTITUTION PR Primary

Addresses

Primary practice location

500 John Will Harris Ave.
Bayamon, PR 00957

Mailing address

500 John Will Harris Ave.
Bayamon, PR 00957
Phone (787) 765-1915

Other names 1

  • UNIVERSIDAD INTERAMERICANA DE PUERTO RICO Other name

National Provider Directory

National Provider Directory

Locations

118 Calle Eleonor Roosevelt
San Juan, PR 00918
Phone (787) 250-1912

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1013916147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 JOHN WILL HARRIS AVE.",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-765-1915",
            "fax_number": "787-765-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JOHN WILL HARRIS AVE.",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-765-1915",
            "fax_number": "787-767-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTER AMERICAN UNIVERSITY OF PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "787-765-1915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "ACADEMIC INSTITUTION",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSIDAD INTERAMERICANA DE PUERTO RICO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.