Individual provider Active NPI

Gabriela Pabon Cartagena

  • Dermatology Physician
  • San Juan, PR
National Provider Identifier
1003330317
Registry record updated Oct 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
23160 Issued in PR
Practice address
735 Ave Ponce de Leon Ste 415
San Juan, PR 00917-5026
Phone
(787) 763-9813
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 23160 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon Ste 415
San Juan, PR 00917-5026

Mailing address

PO Box 192382
San Juan, PR 00919-2382
Phone (787) 415-1545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230827000026 PR Practitioner - Dermatology 5698138741 Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

La Cima de Torrimar 14 Carr
833 Apt 1004
Guaynabo, PR 00969
Phone (787) 415-1545

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions64
Removal or shaving of skin growth1-10
Skin biopsy164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23160PRMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pabon Dermatology, LLC Dermatology Current Accepting new patients

Locations

735 Ave Ponce de Leon
Ste 415
San Juan, PR 00917
Phone (787) 479-7279

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697241600000",
    "number": "1003330317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192382",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192382",
            "telephone_number": "787-415-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 415",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175026",
            "telephone_number": "787-763-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABON CARTAGENA",
        "first_name": "GABRIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2023-10-14",
        "certification_date": "2023-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "23160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.