# ADVANCED RETINA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871226415
- **Authorized official:** DR. JAN CARLOS ORTIZ ROSARIO MD (PRESIDENT)
- **Authorized official phone:** (787) 432-4849

## Contact information

- **Practice address:** CALLE UNION \#91 ESQ CALLE SOL, PONCE, PR 00730
- **Practice address phone:** (787) 848-5353
- **Mailing address:** PO BOX 7432, PONCE, PR 00732-7432
- **Mailing address phone:** (787) 432-4849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2022
- **Last updated:** 06/21/2023