Active NPI
Eye Surgery Specialists of Puerto Rico, LLC
- Ophthalmologic Surgery Clinic/Center
- Santurce, PR
National Provider Identifier
1760437248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Guaynabo, PR
- NPI 1144285958
-
- Ophthalmology Physician
- San Juan, PR
- NPI 1346201167
-
- Anesthesiology Physician
- Santurce, PR
- NPI 1801832621
-
- Anesthesiology Physician
- Santurce, PR
- NPI 1235181017
-
- Anesthesiology Physician
- San Juan, PR
- NPI 1326090101
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
- Ernesto L Collazo Batista MD PSC
- Jeremy Aaron Erxleben, RPH
- Escuela de Medicina Dental
- Samuel Estronza-Ojeda, M.D.
- Expresscare Inc (ExpressCare Pharmacy)
- Omar Jose Fabregas Rodriguez, DC
- Farmacia Americana
- Farmacia Americana Inc
- Farmacia Las Casas Inc (Farmacia Las Casas)
- Farmacia Metropolitana Inc.
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.