Angel Roberto Amezaga, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

6416 Issued in PR

Practice address

3FS 11 Ave. Fragoso
Villa Fontana
Carolina, PR 00983

Phone

(787) 752-6355

Fax

(787) 769-2180

NPI assigned

Nov 15, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912989146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362674",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009362674",
            "telephone_number": "787-752-6355",
            "fax_number": "787-769-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3FS 11 AVE. FRAGOSO",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-752-6355",
            "fax_number": "787-769-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEZAGA",
        "first_name": "ANGEL",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "6416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector Ramon Alvarez, MD
• Harry Alverio Rodriguez, M.D.
• Mirtha Del S Amador, MD
• Amanecer Mutuo, PSC
• American Sleep Centers Inc (Carolina Sleep & Epilepsy Center)
• Amp Wellness Care LLC
• Javier Anaya Gonzalez, MD
• Abimael Andino Ramos
• Juan Gabriel Andino Ramos
• Cesar I Andino-Colon

• Ophthalmology Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.