Active NPI
Jose Raul Montes Eyes & Facial Rejuvenation, LLC
- Ophthalmology Physician
- San Juan, PR
National Provider Identifier
1134593577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- JOSE RAUL MONTES EYES & FACIAL REJUVENATION, LLC
- Practice address
- 735 Ave. Ponce de Leon Suite 813
Torre Medica Auxilio Mutuo
San Juan, PR 00917 - Phone
- (787) 777-0003
- Fax
- (787) 777-0004
- NPI assigned
- Nov 23, 2015
- 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
- Mr. Jose Raul Montes Pagan, M.D.
- Title
- Presidente-(Owner)
- Phone
- (787) 777-0003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | PR | Primary |
Addresses
Primary practice location
735 Ave. Ponce de Leon Suite 813
Torre Medica Auxilio Mutuo
San Juan, PR 00917
Mailing address
735 Ave. Ponce de Leon Suite 813
Torre Medica Auxilio Mutuo
San Juan, PR 00917
Phone (787) 777-0003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
735 Ave Ponce de Leon
Ste 813
San Juan, PR 00917
Phone (787) 777-0003
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- San Juan, PR
- NPI 1518928498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448236800000",
"number": "1134593577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 AVE. PONCE DE LEON SUITE 813",
"address_2": "TORRE MEDICA AUXILIO MUTUO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917",
"telephone_number": "787-777-0003",
"fax_number": "787-777-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 AVE. PONCE DE LEON SUITE 813",
"address_2": "TORRE MEDICA AUXILIO MUTUO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917",
"telephone_number": "787-777-0003",
"fax_number": "787-777-0004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE RAUL MONTES EYES & FACIAL REJUVENATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-23",
"last_updated": "2015-11-23",
"status": "A",
"authorized_official_last_name": "MONTES PAGAN",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "RAUL",
"authorized_official_title_or_position": "PRESIDENTE-(OWNER)",
"authorized_official_telephone_number": "787-777-0003",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.