Active NPI
Ulloa Oculoplastic Surgery LLC
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Guaynabo, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Legal business name
- ULLOA OCULOPLASTIC SURGERY LLC
- Practice address
- 107 Ave Ortegon Ste 304
Guaynabo, PR 00966-2520 - Phone
- (787) 430-4119
- Fax
- (787) 622-0005
- NPI assigned
- Mar 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jan Paul Ulloa Padilla, MD
- Title
- Owner
- Phone
- (787) 430-4119
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | Primary | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
107 Ave Ortegon Ste 304
Guaynabo, PR 00966-2520
Mailing address
107 Ave Ortegon Ste 304
Guaynabo, PR 00966-2520
Phone (787) 430-4119
Other practice location 1
525 Ave Roosevelt Torre Medica Plaza las Americas
Office 406
San Juan, PR 00918
Phone (787) 767-0599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
525 Ave Fd Roosevelt
Ste 406
San Juan, PR 00918
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- San Juan, PR
- NPI 1447651096
-
- Retina Specialist (Ophthalmology) Physician
- Caguas, PR
- NPI 1649566977
-
- Ophthalmology Physician
- Hato Rey, PR
- NPI 1518940857
-
- Ophthalmology Physician
- San Juan, PR
- NPI 1467415653
-
- Optometrist
- San Juan, PR
- NPI 1063381234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765929600000",
"number": "1033910732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 AVE ORTEGON STE 304",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009662520",
"telephone_number": "787-430-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 AVE ORTEGON STE 304",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009662520",
"telephone_number": "787-430-4119",
"fax_number": "787-622-0005"
}
],
"practiceLocations": [
{
"address_1": "525 Ave Roosevelt Torre Medica Plaza las Americas",
"address_2": "Office 406",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00918",
"country_code": "US",
"telephone_number": "787-767-0599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ULLOA OCULOPLASTIC SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-20",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "ULLOA PADILLA",
"authorized_official_first_name": "JAN",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-430-4119",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.