Advanced Glaucoma Care

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ADVANCED GLAUCOMA CARE

Practice address

611 Calle Pavia Ste 210
San Juan, PR 00909-2244

Phone

(787) 728-2318

NPI assigned

Apr 7, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Alejandra M Santiago Diaz, MEDICAL DOCTOR

Title

Owner

Phone

(787) 728-2318

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 4

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

• Alejandra Maria Santiago

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1063913895
  Medicare reassignment NPD
• 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)
• 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": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1407640477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 CALLE PAVIA STE 210",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092244",
            "telephone_number": "787-728-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CALLE PAVIA STE 210",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092244",
            "telephone_number": "787-728-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GLAUCOMA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-06",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO DIAZ",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-728-2318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advance Wellness Center
• Advanced Anti Aging LLC
• Advanced Cardiovascular Center of PR, LLC
• Advanced Cardiovascular Imaging PCS
• Advanced Glaucoma and Ophthalmology Services
• Advanced Internal Medicine & Cardiovascular Center of P.R. P.S.C
• Advanced Prenatal Diagnosis LLC
• Advanced Professional OB/GYN, PSC
• Advanced Psychoeducational Services Inc
• Advanced Radiology Group

• Ophthalmology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.