Active NPI
Jordan Marcano Anaya
- Ophthalmology Physician
- San Juan, PR
National Provider Identifier
1992448351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 16569
- Practice address
- Paseo Dr. Jose Celso Barbosa
.
San Juan, PR 00921 - Phone
- (787) 758-2525
- NPI assigned
- Apr 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 16569 | PR | Primary |
Addresses
Primary practice location
Paseo Dr. Jose Celso Barbosa
.
San Juan, PR 00921
Mailing address
HC 5 Box 6195
Aguas Buenas, PR 00703-9003
Phone (939) 325-3591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1992448351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 5 BOX 6195",
"city": "AGUAS BUENAS",
"state": "PR",
"postal_code": "007039003",
"telephone_number": "939-325-3591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PASEO DR. JOSE CELSO BARBOSA",
"address_2": ".",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-758-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCANO ANAYA",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-14",
"last_updated": "2024-05-30",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PR",
"license": "16569",
"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 May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.