NPIMap

Organization Active NPI

New Vision Medical Diagnostic LLC

  • Primary Care Clinic/Center
  • Bayamon, PR
National Provider Identifier
1891043337
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NEW VISION MEDICAL DIAGNOSTIC LLC
Practice address
Calle Barbosa #36
Esquina Manuel F Rossy
Bayamon, PR 00960
Phone
(787) 778-5353
Fax
(787) 778-5302
NPI assigned
Aug 15, 2012
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
1659503795As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Mr. Jose J VargasNPI 1114128592
Title
President
Phone
(787) 778-5353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Primary Care Clinic/Center 261QP2300X NU Primary
Urgent Care Clinic/Center 261QU0200X NU

Addresses

Primary practice location

Calle Barbosa #36
Esquina Manuel F Rossy
Bayamon, PR 00960

Mailing address

PO Box 6350
Bayamon, PR 00960-5350
Phone (787) 778-5353

Other practice location 1

Ave Domenesch 500
Suite 304
San Juan, PR 00918-3715
Phone (787) 763-8525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130320000292 PR Part B Supplier - Clinic/Group Practice 5496990582 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bayamon, PR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
New Vision Medical Diagnostic LLC5 organizations share this tax ID, including this one
Part of
New Vision Medical Diagnostic LLC

Other organizations with this tax ID 4

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

Locations

36 Calle Barbosa
#F
Bayamon, PR 00961

500 Calle Manuel Domenech
Ste 304
San Juan, PR 00918
Phone (787) 763-8525

Practitioners & affiliated clinicians

Practitioners 11

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": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1891043337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6350",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605350",
            "telephone_number": "787-778-5353",
            "fax_number": "787-778-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BARBOSA #36",
            "address_2": "ESQUINA MANUEL F ROSSY",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-778-5353",
            "fax_number": "787-778-5302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ave Domenesch 500",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009183715",
            "country_code": "US",
            "telephone_number": "787-763-8525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW VISION MEDICAL DIAGNOSTIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1659503795",
        "enumeration_date": "2012-08-15",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-778-5353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.