NPIMap

Organization Active NPI

Laser Eye Surgery Management of PR

  • Ophthalmologic Surgery Clinic/Center
  • Guaynabo, PR
National Provider Identifier
1336263409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
LASER EYE SURGERY MANAGEMENT OF PR
Practice address
Suite 117 Carr 165 KM 1.2 # 48
City View Plaza Building
Guaynabo, PR 00968
Phone
(787) 775-2020
Fax
(787) 775-2010
NPI assigned
Mar 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Angie L Jimenez
Title
Administrator
Phone
(787) 775-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X PR Primary

Addresses

Primary practice location

Suite 117 Carr 165 KM 1.2 # 48
City View Plaza Building
Guaynabo, PR 00968

Mailing address

Suite 117 Carr 165 KM 1.2 # 48
City View Plaza Building
Guaynabo, PR 00968
Phone (787) 775-2020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336263409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 117 CARR 165 KM 1.2 # 48",
            "address_2": "CITY VIEW PLAZA BUILDING",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-775-2020",
            "fax_number": "787-775-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 117 CARR 165 KM 1.2 # 48",
            "address_2": "CITY VIEW PLAZA BUILDING",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-775-2020",
            "fax_number": "787-775-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER EYE SURGERY MANAGEMENT OF PR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-775-2020"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.