Eye Surgery Specialists of Puerto Rico, LLC
Organization Active NPI Ophthalmologic Surgery Clinic/Center · Santurce, PR
NPI 1760437248 · NPPES record last updated Oct 31, 2012
Key facts
- NPI
- 1760437248
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmologic Surgery Clinic/Center 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
- Organization subpart
- No
Authorized official
- Name
- Maria Tirado, M.H.S.A.
- Title
- Executive Director
- Phone
- (787) 721-8330
Practitioners 4
-
Noel S De Leon, MD, FACS
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Eye Surgery Specialists of Puerto Rico LLC
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120503000148 | PR | Part B Supplier - Ambulatory Surgical Center | 7012179328 | Practice locations: San Juan, PR |
National Provider Directory
Locations
809 Calle Hipodromo
Santurce, PR 00909
Phone (787) 200-9462
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | Yes |
Addresses
Primary practice location
809 Hipodromo Street
Santurce, PR 00909
Mailing address
Box 8407
San Juan, PR 00910-8407
Phone (787) 721-8330
Other providers in Santurce, PR
- Ernesto L Collazo Batista MD PSC
- Jeremy Aaron Erxleben
- Escuela de Medicina Dental
- Samuel Estronza-Ojeda
- Expresscare Inc
- Omar Jose Fabregas Rodriguez
- Farmacia Americana
- Farmacia Americana Inc
- Farmacia Las Casas Inc
- Farmacia Metropolitana Inc.
All providers in Santurce, PR · Ophthalmologic Surgery Clinic/Center in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.