Individual provider Active NPI

Hector E Ibanez, M.D.

  • Ophthalmology Physician
  • Mayaguez, PR
National Provider Identifier
1811934060
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10143 Issued in PR
Practice address
14 Calle de Diego E
Suite 204
Mayaguez, PR 00680-4890
Phone
(787) 834-4224
Fax
(787) 265-7944
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 10143 PR Primary
Ophthalmology Physician 207W00000X 01042605A IN

Addresses

Primary practice location

14 Calle de Diego E
Suite 204
Mayaguez, PR 00680-4890

Mailing address

PO Box 3449
Mayaguez, PR 00681-3449
Phone (787) 834-4224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070206000414 PR Practitioner - Ophthalmology 0749282655 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 Calle de Diego E
Oficina 204
Mayaguez, PR 00680-4890
Phone (787) 834-4224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01042605AINMDOphthalmology Physician
10143PRMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1811934060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3449",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813449",
            "telephone_number": "787-834-4224",
            "fax_number": "787-265-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CALLE DE DIEGO E",
            "address_2": "SUITE 204",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804890",
            "telephone_number": "787-834-4224",
            "fax_number": "787-265-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBANEZ",
        "first_name": "HECTOR",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "10143",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01042605A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.