Healthcare Provider Details

I. General information

NPI: 1932940467
Provider Name (Legal Business Name): OJOS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2024
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 AVE ANTONIO R BARCELO STE 5
CAYEY PR
00736-4132
US

IV. Provider business mailing address

151 CALLE CESAR GONZALEZ APT 503
SAN JUAN PR
00918-5103
US

V. Phone/Fax

Practice location:
  • Phone: 787-307-2828
  • Fax:
Mailing address:
  • Phone: 787-438-9839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RADAMES VICENTE RIOS GONZALEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-438-9839