Andrea M Horta Suarez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

749-450 Issued in PR

Practice address

360 Calle del Parque
Ste 1 Ciudadela
San Juan, PR 00912-3717

Phone

(787) 919-3156

Fax

(787) 945-5078

NPI assigned

Feb 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Villegas LLCGroup PAC ID 9234437062, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Villegas LLC

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1457710014
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1053905653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CALLE DEL PARQUE",
            "address_2": "STE 1 CIUDADELA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123717",
            "telephone_number": "787-919-3156",
            "fax_number": "787-945-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CALLE DEL PARQUE",
            "address_2": "STE 1 CIUDADELA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123717",
            "telephone_number": "787-919-3156",
            "fax_number": "787-945-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTA SUAREZ",
        "first_name": "ANDREA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10150T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "749-450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Oncology LLC
• Hopsital Oncologico Dr. Isaac Gonzalez Martinez
• Horacio Colon Esteva
• Horizon Management Group
• Horizon Medical Services Diagnostic, Inc
• Hospital Auxilio Mutuio
• Hospital Auxilio Mutuo
• Hospital Auxilio Mutuo
• Hospital de Pquiatria Forense de Rio Piedras
• Hospital de Pquiatria Forense de Rio Piedras

• Optometrist in San Juan, PR
• Providers in San Juan, PR by specialty
• Optometrist in Puerto Rico

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