Active NPI
West Eye Specialists, LLC
- Retina Specialist (Ophthalmology) Physician
- Mayaguez, PR
National Provider Identifier
1477083459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- Legal business name
- WEST EYE SPECIALISTS, LLC
- Practice address
- #2625 Ave Hostos
Ste 1
Mayaguez, PR 00682 - Phone
- (787) 476-0331
- Fax
- (787) 476-0332
- NPI assigned
- Jun 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Natalia Soto, MBA
- Title
- Administrator
- Phone
- (787) 476-0333
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | Primary | ||
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X |
Addresses
Primary practice location
#2625 Ave Hostos
Ste 1
Mayaguez, PR 00682
Mailing address
2625 Ave Hostos Ste 1
Mayaguez, PR 00682-6326
Phone (787) 476-0331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037417300 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171213002150 | PR | Part B Supplier - Clinic/Group Practice | 2163780529 |
Receives reassigned benefits from 2 practitioners Practice locations: Mayaguez, PR |
National Provider Directory
National Provider DirectoryLocations
2625 Ave Hostos
#1
Mayaguez, PR 00682
Phone (787) 476-0333
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Mayaguez, PR
- NPI 1578791646
PR, Retina Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647216000000",
"number": "1477083459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 AVE HOSTOS STE 1",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006826326",
"telephone_number": "787-476-0331",
"fax_number": "787-476-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#2625 AVE HOSTOS",
"address_2": "STE 1",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00682",
"telephone_number": "787-476-0331",
"fax_number": "787-476-0332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST EYE SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-13",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A",
"authorized_official_last_name": "SOTO",
"authorized_official_first_name": "NATALIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-476-0333",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Retina Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "207WX0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037417300",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.