Individual provider Active NPI

Horacio M Tous de Jesus, M.D.

  • Ophthalmology Physician
  • San Juan, PR
National Provider Identifier
1508064700
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17240 Issued in PR
Practice address
200 Ave Winston Churchill
Suite 402
San Juan, PR 00926-6651
Phone
(787) 766-5555
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 17240 PR Primary

Addresses

Primary practice location

200 Ave Winston Churchill
Suite 402
San Juan, PR 00926-6651

Mailing address

200 Ave Winston Churchill
Suite 402
San Juan, PR 00926-6651
Phone (787) 766-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000120 PR Practitioner - Ophthalmology 7315078334 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University Central del Caribe Escuela de Medicina, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Ave Winston Churchill
Suite 203
San Juan, PR 00926-6655
Phone (787) 766-5555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17240PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ojos LLC Ophthalmology PastSince Jun 1, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1508064700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVE WINSTON CHURCHILL",
            "address_2": "SUITE 402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266651",
            "telephone_number": "787-766-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE WINSTON CHURCHILL",
            "address_2": "SUITE 402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266651",
            "telephone_number": "787-766-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUS DE JESUS",
        "first_name": "HORACIO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "17240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.