Organization Active NPI

Stop the Pain CSP

  • Interventional Pain Medicine Physician
  • San Juan, PR
National Provider Identifier
1013242262
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
16661 Issued in PR
Legal business name
STOP THE PAIN CSP
Practice address
311 Ave Domenech
San Juan, PR 00918-3511
Phone
(787) 525-0731
Fax
(787) 848-0318
NPI assigned
Oct 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Dr. Dorian M Lopez-Bracetty, M.D.NPI 1184848210
Title
President
Phone
(787) 525-0731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 16661 PR Primary

Addresses

Primary practice location

311 Ave Domenech
San Juan, PR 00918-3511

Mailing address

35 Calle Juan C Borbon
Ste 67-465
Guaynabo, PR 00969-5374
Phone (787) 525-0731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100517000061 PR Part B Supplier - Clinic/Group Practice 1759419559 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

365 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 675-0050

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1013242262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CALLE JUAN C BORBON",
            "address_2": "STE 67-465",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695374",
            "telephone_number": "787-525-0731",
            "fax_number": "787-848-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 AVE DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183511",
            "telephone_number": "787-525-0731",
            "fax_number": "787-848-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOP THE PAIN CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-BRACETTY",
        "authorized_official_first_name": "DORIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-525-0731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PR",
            "license": "16661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.