San Pablo Developers Inc
A Medicare group practice based in Bayamon, PR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2860451218), with 9 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2860451218
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- PR
- Enrollments
- 2
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20041206000150 | PR | Part B Supplier - Clinic/Group Practice | 1760478549 |
| O20250226000937 | PR | Part B Supplier - Ambulatory Surgical Center | 1861703464 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
San Pablo Developers Inc
dba Advanced Imaging Interventional Center
- Ambulatory Surgical Clinic/Center
- Bayamon, PR
- NPI 1861703464
-
San Pablo Developers, Inc
dba Advanced Imaging Interventional Center
- Diagnostic Radiology Physician
- Bayamon, PR
- NPI 1760478549
Practice locations
- Bayamon, PR2
Clinicians 9
Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (4).
-
Victor I Aponte, M.D.
- Body Imaging Physician
- Bayamon, PR
- NPI 1306833983
-
Delfin V Bernal, M.D.
- Body Imaging Physician
- Bayamon, PR
- NPI 1942294525
-
Stefano Coppola-Fasick
- Nephrology Physician
- Caguas, PR
- NPI 1831585918
-
Eduardo J Gonzalez Pons, M.D.
- Vascular & Interventional Radiology Physician
- Manati, PR
- NPI 1316133978
-
Ricardo A Lopez Diaz, MD
- Vascular & Interventional Radiology Physician
- Bayamon, PR
- NPI 1780117101
-
Javier Andres Nazario Larrieu, M.D.
- Vascular & Interventional Radiology Physician
- Bayamon, PR
- NPI 1427196385
-
Mario Javier Polo Asenjo, M.D.
- Neuroradiology Physician
- San Juan, PR
- NPI 1902037880
-
Robert Rivera
- Diagnostic Radiology Physician
- Bayamon, PR
- NPI 1063406536
-
Enrique A Sabater, M.D.
- Vascular & Interventional Radiology Physician
- San Juan, PR
- NPI 1619936085
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.