Organization Active NPI

Ulloa Oculoplastic Surgery LLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Guaynabo, PR
National Provider Identifier
1033910732
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
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

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Dr. Jan Paul Ulloa Padilla, MDNPI 1447651096
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)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20251104003189 PR Part B Supplier - Clinic/Group Practice 0547750093 Receives reassigned benefits from 1 practitioner
Practice locations: Guaynabo, PR; San Juan, PR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.