Opa Oculoplastic Anesthesia LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

OPA OCULOPLASTIC ANESTHESIA LLC

Doing business as

Opa Oculoplastic Anesthesia LLC

Practice address

Medical Ophtalmic Plaza 1875
Carr 2 Suite 303
Bayamon, PR 00959

Phone

(787) 780-0404

NPI assigned

Oct 19, 2023

Last updated

Oct 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nilda Luna

Title

Administradora

Phone

(787) 318-6451

Specialties & licenses 1

Addresses

Other names 1

• OPA OCULOPLASTIC ANESTHESIA LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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.

• Luis A. Gonzalez-Camacho, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Bayamon, PR
  • NPI 1407855398
  Medicare reassignment NPD

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1629850029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CALLE UNION APT 204, CASA MAGGIORE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-318-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL OPHTALMIC PLAZA 1875",
            "address_2": "CARR 2 SUITE 303",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-780-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPA OCULOPLASTIC ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "NILDA",
        "authorized_official_title_or_position": "ADMINISTRADORA",
        "authorized_official_telephone_number": "787-318-6451",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPA OCULOPLASTIC ANESTHESIA LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Robles Olivero, RN, BSN
• On Time Medical Equipment
• On Time Therapeutic Clinic
• Oncology Institute of Puerto Rico PSC
• Jose G Oneill-Rivera, M.D.
• Opcion Mca Inc.
• Optica Cdtgmsp
• Optica LM LLC
• Optica Ruben Nieves
• Optica Santa Rosa

• Pain Medicine (Anesthesiology) Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Pain Medicine (Anesthesiology) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.