Individual provider Active NPI

Mariola Monagas, M.D.

  • Ophthalmology Physician
  • San Juan, PR
National Provider Identifier
1194040410
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
18530 Issued in PR
Practice address
1213 Calle Tomas Agrait
Club Manor
San Juan, PR 00924-4333
Phone
(787) 614-4100
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 18530 PR Primary

Addresses

Primary practice location

1213 Calle Tomas Agrait
Club Manor
San Juan, PR 00924-4333

Mailing address

125 Calle Jose de Diego
Club Manor
Aguadilla, PR 00603-5175
Phone (787) 882-7766

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160513001989 PR Practitioner - Ophthalmology 9638468630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aguadilla Eye MD PSCGroup PAC ID 4981733771, 5 clinicians

Practice addresses (Care Compare)

13 Calle Mercedes Moreno
Aguadilla, PR 00603-5152
Phone (787) 882-6370

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18530PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aguadilla Eye MD PSC Ophthalmology CurrentSince Apr 1, 2016 Accepting new patients
Caribbean Ophthalmology PSC Ophthalmology Past Accepting new patients

Locations

13 Calle Mercedes Moreno
Aguadilla, PR 00603
Phone (787) 509-8898

Interoperability endpoints

  • Direct secure messaging: mariolamonagas@aguadillaeyemd.direct.eyemdemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1194040410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CALLE JOSE DE DIEGO",
            "address_2": "CLUB MANOR",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035175",
            "telephone_number": "787-882-7766",
            "fax_number": "787-882-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 CALLE TOMAS AGRAIT",
            "address_2": "CLUB MANOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009244333",
            "telephone_number": "787-614-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAGAS",
        "first_name": "MARIOLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "18530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.