Active NPI
Stop the Pain CSP
- Interventional Pain Medicine Physician
- San Juan, PR
National Provider Identifier
1013242262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 16661
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Interventional Pain Medicine Physician
- San Juan, PR
- NPI 1184848210
-
- Pain Medicine (Anesthesiology) Physician
- San Juan, PR
- NPI 1851336440
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.