Healthcare Provider Details

I. General information

NPI: 1093030355
Provider Name (Legal Business Name): OJOS PUERTO RICO SERVICIOS CLINICOS PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 07/01/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

METROPAVIA CLINIC ZONA INDUSTRIAL VICTOR ROJAS 2
ARECIBO PR
00613
US

IV. Provider business mailing address

PO BOX 589
DORADO PR
00646-0589
US

V. Phone/Fax

Practice location:
  • Phone: 787-820-8989
  • Fax: 787-820-6715
Mailing address:
  • Phone: 787-820-8989
  • Fax: 787-820-6715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number15856
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number15856
License Number StatePR

VIII. Authorized Official

Name: OSCAR ALEJANDRO HERNANDEZ
Title or Position: CEO
Credential: MD
Phone: 787-820-8989