Glaucoma Specialists of Puerto Rico LLC

Primary specialty

Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X

Legal business name

GLAUCOMA SPECIALISTS OF PUERTO RICO LLC

Practice address

Ave. de Diego 369
Torre San Francisco Suite 310
Rio Piedras, PR 00923

Phone

(787) 767-8872

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Carlos J Vives Alvarado, MDNPI 1902207459

Title

Sole Owner

Phone

(787) 485-3480

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos J Vives Alvarado, MD

  • Ophthalmology Physician
  • Rio Piedras, PR
  • NPI 1902207459
  Medicare reassignment NPD Authorized official
• Marino Blasini-Torres, M.D.

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1780652826
  NPD (past)
• Coral Casals, MD

  • Family Medicine Physician
  • Santurce, PR
  • NPI 1992761852
  NPD (past)
• Luis Alberto Santiago Caban, MD

  • Ophthalmology Physician
  • Guayama, PR
  • NPI 1700018835
  NPD (past)
• Esteban Manuel Vazquez-Valencia, M.D.

  • Ophthalmology Physician
  • Dorado, PR
  • NPI 1699183376
  NPD (past)
• Nadya Yanuska Villalba-Ramos, M.D.

  • Ophthalmology Physician
  • Santurce, PR
  • NPI 1053501411

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1104587757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LOS PASEOS",
            "address_2": "1 PASEO SERENO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266469",
            "telephone_number": "787-485-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. DE DIEGO 369",
            "address_2": "TORRE SAN FRANCISCO SUITE 310",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-767-8872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Pavia Medical Plaza Suite 210",
            "address_2": "Calle Dr. M. Pavia 611",
            "address_purpose": "LOCATION",
            "city": "Santurce",
            "state": "PR",
            "postal_code": "00909",
            "country_code": "US",
            "telephone_number": "787-728-2318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLAUCOMA SPECIALISTS OF PUERTO RICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "VIVES ALVARADO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "787-485-3480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902207459",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "21279",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deniz E Garcia-de la Rosa, MD
• Lydia Esther Garcia, PSYD.
• Milka Rosalind Garcia
• Miriam Garcia, M.T.
• Ges de San Juan, Inc.
• Mabel Gonzales, DMD
• Florencio Gonzalez Garcia, D.C.
• Ramon Fernando Gonzalez Garcia, D.D.S.
• Adel Gonzalez Montalvo, M.D.
• Rafael Ulises Gonzalez-Barros, MD

• Glaucoma Specialist (Ophthalmology) Physician in Rio Piedras, PR
• Providers in Rio Piedras, PR by specialty
• Glaucoma Specialist (Ophthalmology) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.