Organization Active NPI

Ponce Eye Med Institute LCC

  • Ophthalmology Physician
  • Ponce, PR
National Provider Identifier
1053901629
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PONCE EYE MED INSTITUTE LCC
Practice address
44 Calle Mayor
Edificio Zamora
Ponce, PR 00730-3761
Phone
(787) 848-5353
Fax
(787) 259-4462
NPI assigned
Jan 19, 2021
Organization subpart
Yes
Parent organization
PONCE EYE MED INSTITUTE LCCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Milton E Irizarry, MD
Title
Owner
Phone
(787) 382-5195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

44 Calle Mayor
Edificio Zamora
Ponce, PR 00730-3761

Mailing address

44 Calle Mayor
Edificio Zamora
Ponce, PR 00730-3761
Phone (787) 848-5353

National Provider Directory

National Provider Directory
Part of
Ponce Eye Med Institute LCC

Locations

44 Calle Mayor
Ponce, PR 00730
Phone (787) 848-5353

Practitioners & affiliated clinicians

Practitioners 2

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": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1053901629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CALLE MAYOR",
            "address_2": "EDIFICIO ZAMORA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303761",
            "telephone_number": "787-848-5353",
            "fax_number": "787-259-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CALLE MAYOR",
            "address_2": "EDIFICIO ZAMORA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303761",
            "telephone_number": "787-848-5353",
            "fax_number": "787-259-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE EYE MED INSTITUTE LCC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PONCE EYE MED INSTITUTE LCC",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-382-5195",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.