Provider Demographics
NPI:1932940467
Name:OJOS LLC
Entity type:Organization
Organization Name:OJOS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RADAMES
Authorized Official - Middle Name:VICENTE
Authorized Official - Last Name:RIOS GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-438-9839
Mailing Address - Street 1:151 CALLE CESAR GONZALEZ APT 503
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-5103
Mailing Address - Country:US
Mailing Address - Phone:787-438-9839
Mailing Address - Fax:
Practice Address - Street 1:1700 AVE ANTONIO R BARCELO STE 5
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-4132
Practice Address - Country:US
Practice Address - Phone:787-307-2828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty