Aoa Ophthalmic Group LLC
Organization Active NPI Ophthalmology Physician · Moca, PR
NPI 1972237410 · NPPES record last updated Jul 11, 2022
Key facts
- NPI
- 1972237410
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- AOA OPHTHALMIC GROUP LLC
- Practice address
- 326 Calle Jesus Ramos
Moca, PR 00676-4576 - Phone
- (787) 463-6992
- NPI assigned
- Jul 11, 2022
- Organization subpart
- No
Authorized official
- Name
- Alberto Ortiz, MD
- Title
- President
- Phone
- (787) 463-6992
Practitioners 3
-
Alberto Ortiz-Arroyo, M.D.
-
Adelaida Caban, LND
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 40D2269129 | Aoa Ophthalmic LLC | Certificate of waiver | Sep 20, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220826001770 | PR | Part B Supplier - Clinic/Group Practice | 6103200050 |
Receives reassigned benefits from 1 practitioner Practice locations: Moca, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes | ||
| Ophthalmologic Surgery Clinic/Center | 261QS0132X |
Addresses
Primary practice location
326 Calle Jesus Ramos
Moca, PR 00676-4576
Mailing address
PO Box 85
Moca, PR 00676-0085
Phone (787) 463-6992
Other providers in Moca, PR
- Angel Alequin
- Alianza Para El Desarrollo Inegrado de la Ninez L.L.C.
- Maritza Alma
- Guillermo A. Alvarez
- Angel Gonzalez Perez
- Aps Clinics of Puerto Rico, Inc.
- Grace Arocho
- Marlene E Aviles Vargas
- Doris Arlene Aviles
- Anzary Ayala
All providers in Moca, PR · Ophthalmology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.