Individual provider Active NPI

Jan Paul Ulloa Padilla, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Guaynabo, PR
National Provider Identifier
1447651096
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
22615 Issued in PR
Practice address
107 Ave Ortegon Ste 304
Guaynabo, PR 00966-2520
Phone
(787) 622-1111
Fax
(787) 622-0005
NPI assigned
Sep 12, 2014
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 22615 PR Primary

Addresses

Primary practice location

107 Ave Ortegon Ste 304
Guaynabo, PR 00966-2520

Mailing address

107 Ave Ortegon Ste 304
Guaynabo, PR 00966-2520
Phone (787) 622-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, PR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220119000947 PA Practitioner - Ophthalmology 6305246042 Reassigns benefits to 2 organizations
I20230601000568 PR Practitioner - Ophthalmology 6305246042 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 Ave Ortegon
Suite 304
Guaynabo, PR 00966

107 Ave Ortegon
Suite 304
Guaynabo, PR 00966-2520
Phone (787) 430-4119

525 Ave FD Roosevelt
San Juan, PR 00918-8001
Phone (787) 767-0599

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22615PRMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ulloa Oculoplastic Surgery LLC Ophthalmic Plastic and Reconstructive Surgery CurrentSince Sep 5, 2025 Accepting new patients
Wills Eye Ophthalmology Clinic, Inc Ophthalmology CurrentSince Mar 1, 2022 Accepting new patients
Morgenstern Center for Orbital and Facial Plastic Surgery, Inc. Ophthalmology CurrentSince Jan 1, 2022 Accepting new patients
Eastern Retina Consultants of Puerto Rico, PSC Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
Heron Rock Surgery Center of Lancaster Past Accepting new patients
Bright Retina Practice PR LLC Ophthalmology PastSince Sep 1, 2024 Accepting new patients
Guaynabo Optometry Services PastSince Nov 18, 2025 Accepting new patients

Locations

604 Community Way
Lancaster, PA 17603
Phone (610) 687-8771

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

123 Bloomingdale Ave
Ste 102
Wayne, PA 19087
Phone (610) 541-2807

107 Ave Ortegon
Ste 304
Guaynabo, PR 00966
Phone (787) 430-4119

125 Calle Font Martelo
Humacao, PR 00791
Phone (787) 852-6825

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: janpaul.ulloapadilla.p1@direct.willseye.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1447651096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 AVE ORTEGON STE 304",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662520",
            "telephone_number": "787-622-1111",
            "fax_number": "787-622-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 AVE ORTEGON STE 304",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662520",
            "telephone_number": "787-622-1111",
            "fax_number": "787-622-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLOA PADILLA",
        "first_name": "JAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "PR",
            "license": "22615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.