NPIMap

Organization Active NPI

Inter American University of Puerto Rico

  • Eyewear Supplier
  • Cidra, PR
National Provider Identifier
1205618048
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
INTER AMERICAN UNIVERSITY OF PUERTO RICO
Practice address
Ave. El Jibaro Carr. 172 KM 135
Cidra, PR 00783
Phone
(787) 739-8182
NPI assigned
Oct 17, 2023
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Andres Pagan, O.D.
Title
Dean
Phone
(787) 765-1915

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary
Optician 156FX1800X NU

Addresses

Primary practice location

Ave. El Jibaro Carr. 172 KM 135
Cidra, PR 00783

Mailing address

500 Carr Dr. John Will Harris
Bayamon, PR 00957-6257
Phone (787) 765-1915

Other identifiers 1

IdentifierTypeStateIssuer
037652204MedicaidPR

National Provider Directory

National Provider Directory
Tax ID family
Universidad Interamericana10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 Carr Dr John W Harris
Bayamon, PR 00957
Phone (787) 279-1912

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1205618048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CARR DR. JOHN WILL HARRIS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009576257",
            "telephone_number": "787-765-1915",
            "fax_number": "787-765-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. EL JIBARO CARR. 172 KM 135",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-739-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTER AMERICAN UNIVERSITY OF PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "787-765-1915",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037652204",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.