Advanced Glaucoma and Ophthalmology Services
NPI 1629465604ActiveOrganization· Ophthalmology· San Juan, PR
Ophthalmology in San Juan, Puerto Rico, registered in NPPES in April 2015. The authorized official on file is Nanette M. De Leon, M.D., Sole Member.
Overview
| NPI | 1629465604 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2015 |
| Last updated in NPPES | Apr 17, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 17637 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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