Organization Active NPI

Eye Surgery Specialists of Puerto Rico, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Santurce, PR
National Provider Identifier
1760437248
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
EYE SURGERY SPECIALISTS OF PUERTO RICO, LLC
Practice address
809 Hipodromo Street
Santurce, PR 00909
Phone
(787) 721-8330
Fax
(787) 722-3222
NPI assigned
May 23, 2006
Last updated
Oct 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Maria Tirado, M.H.S.A.
Title
Executive Director
Phone
(787) 721-8330

Specialties & licenses 1

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

Addresses

Primary practice location

809 Hipodromo Street
Santurce, PR 00909

Mailing address

Box 8407
San Juan, PR 00910-8407
Phone (787) 721-8330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120503000148 PR Part B Supplier - Ambulatory Surgical Center 7012179328 Practice locations: San Juan, PR

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Eye Surgery Specialists of Puerto Rico LLCCCN 40C0001004
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

352 Calle Angel Buonomo
San Juan, PR 00918
Phone (787) 722-2251

809 Calle Hipodromo
Santurce, PR 00909
Phone (787) 200-9462

Practitioners & affiliated clinicians

Practitioners 5

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1760437248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 8407",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009108407",
            "telephone_number": "787-721-8330",
            "fax_number": "787-722-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 HIPODROMO STREET",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-721-8330",
            "fax_number": "787-722-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY SPECIALISTS OF PUERTO RICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "TIRADO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-721-8330",
        "authorized_official_credential": "M.H.S.A."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.