OrganizationActive
Advanced Glaucoma and Ophthalmology Services
NPI 1629465604 · Ophthalmology Physician · San Juan, PR
Provider details
- NPI number
- 1629465604
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nanette De Leon, Sole Member(787) 717-3068
- License
- 17637 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
572 Ave Cesar Gonzalez
Hato Rey
San Juan, PR 00918
Phone: (787) 764-4066
Street-level locationGet directions
Mailing address
Rr 36 Box 8233
San Juan, PR 00926-9562
Registry dates
- Enumerated
- 2015-04-17
- Last updated
- 2015-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.