Professional Ophthalomology Group LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PROFESSIONAL OPHTHALOMOLOGY GROUP LLC

Practice address

708 Ave. Ponce D Leon
Suite 202
San Juan, PR 00919-5013

Phone

(787) 250-0812

Fax

(787) 753-2378

NPI assigned

Apr 7, 2022

Organization subpart

No

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

Authorized official

Name

Silvino Diaz Mendoza, MDNPI 1538149000

Title

Doctor

Phone

(787) 250-0812

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Silvino Diaz Mendoza, MD

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1538149000
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1720720188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21368",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009281368",
            "telephone_number": "787-250-0812",
            "fax_number": "787-753-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 AVE. PONCE D LEON",
            "address_2": "SUITE 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009195013",
            "telephone_number": "787-250-0812",
            "fax_number": "787-753-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL OPHTHALOMOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "DIAZ MENDOZA",
        "authorized_official_first_name": "SILVINO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-250-0812",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Health Clinic
• Professional Hearing & Balance Center
• Professional Infusion Center, Inc.
• Professional Maxsal Drug, Inc.
• Professional Mental Health & Counseling Corp PC
• Professional Rental Corp
• Professional Rental Corp.
• Programa Graduado Cirugia Oral Y Maxilofacial, Upr
• Programa Graduado En Odonologia General GPR
• Programa Sida de San Juan

• Ophthalmology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.