Organization Active NPI

William a. Townsend Pico PSC

  • Ophthalmologic Surgery Clinic/Center
  • San Juan, PR
National Provider Identifier
1689977431
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
12240 Issued in IL
Legal business name
WILLIAM A. TOWNSEND PICO PSC
Practice address
Ave. Ponce de Leon #735
Torre Auxilio Mutuo Suite 502
San Juan, PR 00917
Phone
(787) 296-0870
Fax
(787) 771-9789
NPI assigned
Dec 17, 2010
Last updated
Dec 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Dr. William A. Townsend, M.D.
Title
President
Phone
(787) 296-0870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 12240 IL Primary

Addresses

Primary practice location

Ave. Ponce de Leon #735
Torre Auxilio Mutuo Suite 502
San Juan, PR 00917

Mailing address

PMB 441 1353 Rd 19
Guaynabo, PR 00966-2700
Phone (787) 296-0870

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121130000060 PR Part B Supplier - Clinic/Group Practice 1951553759 Receives reassigned benefits from 1 practitioner
Practice locations: Manati, PR; Ponce, PR; San Juan, PR; Fajardo, PR

National Provider Directory

National Provider Directory

Locations

1 Calle Sol
Ponce, PR 00730
Phone (787) 848-5353

735 Ave Ponce de Leon
Ste 502
San Juan, PR 00917
Phone (787) 296-0780

Practitioners & affiliated clinicians

Practitioners 3

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": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1689977431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 441 1353 RD 19",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662700",
            "telephone_number": "787-296-0870",
            "fax_number": "787-771-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. PONCE DE LEON #735",
            "address_2": "TORRE AUXILIO MUTUO SUITE 502",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-296-0870",
            "fax_number": "787-771-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. TOWNSEND PICO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-296-0870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "IL",
            "license": "12240",
            "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 Dec 17, 2010; 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.