Individual provider Active NPI

Carlos J Vives Alvarado, MD

  • Ophthalmology Physician
  • Rio Piedras, PR
National Provider Identifier
1902207459
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
21279 Issued in PR
Practice address
Ave. de Diego 369
Torre San Francisco Suite 310
Rio Piedras, PR 00923
Phone
(787) 767-8872
NPI assigned
Sep 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 21279 PR
Ophthalmology Physician 207W00000X 21279 PR Primary

Addresses

Primary practice location

Ave. de Diego 369
Torre San Francisco Suite 310
Rio Piedras, PR 00923

Mailing address

Urb Los Paseos
1 Paseo Sereno
San Juan, PR 00926
Phone (787) 485-3480

Other practice location 1

Pavia Medical Plaza Suite 310
Calle Dr. M. Pavia 611
Santurce, PR 00909
Phone (787) 728-2318

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
I20200309000671 PR Practitioner - Ophthalmology 7911335872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

369 Calle de Diego
San Juan, PR 00923

369 Calle de Diego
San Juan, PR 00923-3003
Phone (787) 767-8872

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glaucoma Specialists of Puerto Rico LLC Ophthalmology CurrentSince Jan 28, 2022 Accepting new patients
Centro Oftalmologico del Sur, PSC Ophthalmology CurrentSince Jul 24, 2022 Accepting new patients
University Eye Associates Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dralvarado@sanfranciscoophthalmologygroup.direct.eyemdemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1902207459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LOS PASEOS",
            "address_2": "1 PASEO SERENO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-485-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. DE DIEGO 369",
            "address_2": "TORRE SAN FRANCISCO SUITE 310",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-767-8872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Pavia Medical Plaza Suite 310",
            "address_2": "Calle Dr. M. Pavia 611",
            "address_purpose": "LOCATION",
            "city": "Santurce",
            "state": "PR",
            "postal_code": "00909",
            "country_code": "US",
            "telephone_number": "787-728-2318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVES ALVARADO",
        "first_name": "CARLOS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-15",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "PR",
            "license": "21279",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "21279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.