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GLAUCOMA SPECIALISTS OF PUERTO RICO LLC
NPI 1104587757
Ophthalmology - Glaucoma Specialist in Rio Piedras, PR

Active since January 05, 2022
AVE. DE DIEGO 369, TORRE SAN FRANCISCO SUITE 310, RIO PIEDRAS, PR 00923(787) 767-8872 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2022, Jan 5, 2022 (2 updates tracked since 2022).

About Glaucoma Specialists Of Puerto Rico Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLAUCOMA SPECIALISTS OF PUERTO RICO LLC (NPI 1104587757) is a healthcare organization registered as a glaucoma specialist in Rio Piedras, Puerto Rico and active in the NPI registry since January 2022. The organization maintains a secondary practice location in Santurce and lists Carlos J Vives Alvarado, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1104587757
Entity TypeOrganization
Primary Taxonomy207WX0009X
Legal Business NameGLAUCOMA SPECIALISTS OF PUERTO RICO LLC
Location AddressAVE. DE DIEGO 369, TORRE SAN FRANCISCO SUITE 310Rio Piedras, PR 00923
Mailing AddressUrb Los Paseos, 1 Paseo SerenoSan Juan, PR 00926-6469 · (787) 485-3480
Phone(787) 767-8872
Organization SubpartNo
Authorized OfficialCarlos J Vives AlvaradoSole Owner · (787) 485-3480
Enumeration DateJanuary 5, 2022
Last NPPES UpdateOctober 19, 20222 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1104587757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Also ListedOphthalmologyTaxonomy 207W00000X

Secondary Practice Location 1

Location 1Pavia Medical Plaza Suite 210, Calle Dr. M. Pavia 611Santurce, PR 00909 · Phone (787) 728-2318

Other Identifiers 2

Medicaid1902207459PR
Other21279PR · State Licence

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glaucoma Specialists Of Puerto Rico Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Glaucoma Specialists Of Puerto Rico LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Carlos Vives Alvarado, MD
Ophthalmology
NPI 1902207459
AVE. DE DIEGO 369 TORRE SAN FRANCISCO SUITE 310
Rio Piedras, PR 00923
(787) 767-8872
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glaucoma Specialists Of Puerto Rico LLC's NPI number?

The NPI number for Glaucoma Specialists Of Puerto Rico LLC is 1104587757. It was assigned to this organization in the NPPES registry on January 5, 2022.

Where is Glaucoma Specialists Of Puerto Rico LLC located?

Glaucoma Specialists Of Puerto Rico LLC is located at Ave. De Diego 369 Torre San Francisco Suite 310, Rio Piedras, PR 00923. The listed phone number is (787) 767-8872.

What is Glaucoma Specialists Of Puerto Rico LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Glaucoma Specialists Of Puerto Rico LLC enrolled in Medicare?

Yes. Glaucoma Specialists Of Puerto Rico LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glaucoma Specialists Of Puerto Rico LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Glaucoma Specialists Of Puerto Rico LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Glaucoma Specialists Of Puerto Rico LLC was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.