Healthcare Provider Details

I. General information

NPI: 1801763032
Provider Name (Legal Business Name): PEREZ EYE AND RETINA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8024 CALLE CONCORDIA
PONCE PR
00717-1518
US

IV. Provider business mailing address

PO BOX 801117
COTO LAUREL PR
00780-1117
US

V. Phone/Fax

Practice location:
  • Phone: 787-509-1335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEJANDRO PEREZ TORRES
Title or Position: OWNER
Credential: MD
Phone: 939-528-4947