Provider Demographics
NPI:1093030355
Name:OJOS PUERTO RICO SERVICIOS CLINICOS PSC
Entity type:Organization
Organization Name:OJOS PUERTO RICO SERVICIOS CLINICOS PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-820-8989
Mailing Address - Street 1:PO BOX 589
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-0589
Mailing Address - Country:US
Mailing Address - Phone:787-820-8989
Mailing Address - Fax:787-820-6715
Practice Address - Street 1:METROPAVIA CLINIC
Practice Address - Street 2:ZONA INDUSTRIAL VICTOR ROJAS 2
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00613
Practice Address - Country:US
Practice Address - Phone:787-820-8989
Practice Address - Fax:787-820-6715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15856208D00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty