Andres Emanuelli Anzalotta, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

16978 Issued in PR

Practice address

452 Ave Rivera Aulet
Arecibo, PR 00612-4368

Phone

(787) 680-7222

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Puerto Rico School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Care PSCGroup PAC ID 0244468536, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.andres.emanuelli@novo-visionclinic.direct.eyemdemr.com
• Direct secure messaging: aemanuelli@retinacare.direct.eyemdemr.com
• Direct secure messaging: andres.emanuelli@uprophthalmology.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Retina Care PSC

  • Ophthalmology Physician
  • Arecibo, PR
  • NPI 1982958773
  Medicare reassignment Care Compare group NPD Authorized official
• Recinto de Ciencias Medicas

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1770654592
  Medicare reassignment NPD
• Emanuelli Research & Development Center

  • Research Study Specialist
  • Arecibo, PR
  • NPI 1881184273
  NPD Authorized official
• Recinto de Ciencias Medicas

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1023213154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2770",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006132770",
            "telephone_number": "787-449-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 AVE RIVERA AULET",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124368",
            "telephone_number": "787-680-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMANUELLI ANZALOTTA",
        "first_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "16978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA MD",
            "identifier": "16978",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DV Lab Group Inc
• Ebao Mental Health Clinic, LLC.
• Ana Del Carmen Echegaray, RPT
• Kiara Cristina Echeverria, MSW
• Edgar a Ruiz Inc.
• Emanuelli Research & Development Center
• Emed Professional Services Inc.
• Emergency Medicine Group of Arecibo Inc
• Emergency Physician Providers, LLC
• Empresas Optica Nacional

• Ophthalmology Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.