NPIMap

Organization Active NPI

Elite Care Fundoscopy

  • Optometrist
  • Aguadilla, PR
National Provider Identifier
1881492189
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ELITE CARE FUNDOSCOPY
Practice address
Bo. Caimital
Carr PR 2 KM 122.0
Aguadilla, PR 00605
Phone
(787) 641-0171
NPI assigned
Mar 4, 2025
Last updated
Mar 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PHP ELITE CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Hiram J Ortega
Title
President
Phone
(787) 431-6710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

Bo. Caimital
Carr PR 2 KM 122.0
Aguadilla, PR 00605

Mailing address

1250 Ave Ponce de Leon Ste 204
San Juan, PR 00907-3949
Phone (787) 641-0171

National Provider Directory

National Provider Directory
Tax ID family
PHP Elite Care LLC5 organizations share this tax ID, including this one
Part of
PHP Elite Care LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1881492189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 AVE PONCE DE LEON STE 204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073949",
            "telephone_number": "787-641-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. CAIMITAL",
            "address_2": "CARR PR 2 KM 122.0",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-641-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE FUNDOSCOPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHP ELITE CARE LLC",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "HIRAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-431-6710"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.