Organization Active NPI

Vam Eyemd, CSP

  • Medical Specialty Clinic/Center
  • San Juan, PR
National Provider Identifier
1891973731
Registry record updated Feb 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
6117 Issued in PR
Legal business name
VAM EYEMD, CSP
Practice address
Calle Cesar Gonzalez # 572
San Juan, PR 00918-3901
Phone
(787) 758-2404
Fax
(787) 764-4227
NPI assigned
Feb 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2008

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

Authorized official

Name
Dr. Vicente Alcaraz, MDNPI 1275522591
Title
President
Phone
(787) 758-2404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 6117 PR Primary

Addresses

Primary practice location

Calle Cesar Gonzalez # 572
San Juan, PR 00918-3901

Mailing address

PO Box 191168
San Juan, PR 00919-1168
Phone (787) 758-2404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080701000479 PR Part B Supplier - Clinic/Group Practice 5698847978 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

572 Munoz Rivera
San Juan, PR 00918
Phone (787) 640-6890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201910400000",
    "number": "1891973731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191168",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191168",
            "telephone_number": "787-758-2404",
            "fax_number": "787-764-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CESAR GONZALEZ # 572",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183901",
            "telephone_number": "787-758-2404",
            "fax_number": "787-764-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAM EYEMD, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-02",
        "last_updated": "2008-02-02",
        "status": "A",
        "authorized_official_last_name": "ALCARAZ",
        "authorized_official_first_name": "VICENTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-758-2404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "6117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2008; 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.