Organization Active NPI

Phakos, PSC

  • Ophthalmology Physician
  • San Juan, PR
National Provider Identifier
1578632097
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14126 Issued in PR
Legal business name
PHAKOS, PSC
Practice address
Cond la Sierra del Sol
Apt-4
San Juan, PR 00926-4316
Phone
(787) 755-5813
NPI assigned
Nov 7, 2006
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
Dr. Nestor L Vazquez, MDNPI 1184609901
Title
President
Phone
(787) 485-7159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14126 PR Primary

Addresses

Primary practice location

Cond la Sierra del Sol
Apt-4
San Juan, PR 00926-4316

Mailing address

Cond la Sierra del Sol
Apt-4
San Juan, PR 00926-4316
Phone (787) 755-5813

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160201000359 PR Part B Supplier - Clinic/Group Practice 6709180409 Receives reassigned benefits from 1 practitioner
Practice locations: Dorado, PR; Vega Baja, PR

National Provider Directory

National Provider Directory
Tax ID family
Phakos PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578632097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND LA SIERRA DEL SOL",
            "address_2": "APT-4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264316",
            "telephone_number": "787-755-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND LA SIERRA DEL SOL",
            "address_2": "APT-4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264316",
            "telephone_number": "787-755-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAKOS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-485-7159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "14126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, 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.
  • 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.