NPIMap

Organization Active NPI

New Vision Medical Diagnostics LLC

  • Multi-Specialty Clinic/Center
  • Bayamon, PR
National Provider Identifier
1659503795
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NEW VISION MEDICAL DIAGNOSTICS LLC
Practice address
Calle Barbosa #36
Esquina Manuel F Rossy
Bayamon, PR 00960
Phone
(787) 778-5353
Fax
(787) 778-5302
NPI assigned
Aug 21, 2009
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Mr. Jose J Vargas Rodriguez
Title
President
Phone
(787) 778-5353

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Emergency Care Clinic/Center 261QE0002X 43 PR
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

Calle Barbosa #36
Esquina Manuel F Rossy
Bayamon, PR 00960

Mailing address

PO Box 6350
Bayamon, PR 00960-5350
Phone (787) 778-5353

Other practice location 1

Calle Manuel F Rossy
Esq Isabel II
Bayamon, PR 00960-2750
Phone (787) 778-5353 ext. 139

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130320000292 PR Part B Supplier - Clinic/Group Practice 5496990582 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Bayamon, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
New Vision Medical Diagnostic LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

36 Calle Barbosa
Bayamon, PR 00961

Practitioners & affiliated clinicians

Practitioners 10

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": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1659503795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6350",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605350",
            "telephone_number": "787-778-5353",
            "fax_number": "787-778-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BARBOSA #36",
            "address_2": "ESQUINA MANUEL F ROSSY",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-778-5353",
            "fax_number": "787-778-5302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Manuel F Rossy",
            "address_2": "ESQ ISABEL II",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009602750",
            "country_code": "US",
            "telephone_number": "787-778-5353 x139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW VISION MEDICAL DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "VARGAS RODRIGUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-778-5353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PR",
            "license": "43",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.