Active NPI
Eye Care of San Juan P S C
- Ophthalmology Physician
- San Juan, PR
National Provider Identifier
1659689875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 9085
- Legal business name
- EYE CARE OF SAN JUAN P S C
- Practice address
- 357 Ave de la Constitucion
Puerta de Tierra
San Juan, PR 00901-2208 - Phone
- (787) 289-6600
- Fax
- (787) 289-6622
- NPI assigned
- Sep 22, 2010
- Organization subpart
- Yes
- Parent organization
- EYE CARE OF SAN JUAN P S C
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lolita Delatorre
- Title
- Administrator
- Phone
- (787) 289-6600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 9085 | PR | Primary |
Addresses
Primary practice location
357 Ave de la Constitucion
Puerta de Tierra
San Juan, PR 00901-2208
Mailing address
PO Box 13953
San Juan, PR 00908-3953
Phone (787) 289-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Eye Care of San Juan P S C
Locations
357 Ave de la Constitucion
San Juan, PR 00901
Phone (787) 289-6600
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cornea and External Diseases Specialist Physician
- San Juan, PR
- NPI 1033182548
Ophthalmology
-
- Ophthalmology Physician
- San Juan, PR
- NPI 1679561047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320278400000",
"number": "1659689875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13953",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009083953",
"telephone_number": "787-289-6600",
"fax_number": "787-289-6622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 AVE DE LA CONSTITUCION",
"address_2": "PUERTA DE TIERRA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009012208",
"telephone_number": "787-289-6600",
"fax_number": "787-289-6622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CARE OF SAN JUAN P S C",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EYE CARE OF SAN JUAN P S C",
"enumeration_date": "2010-09-22",
"last_updated": "2011-11-03",
"status": "A",
"authorized_official_last_name": "DELATORRE",
"authorized_official_first_name": "LOLITA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-289-6600"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "PR",
"license": "9085",
"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 Nov 3, 2011; 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.