Luis A Pacheco Oliveras

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15510 Issued in PR

Practice address

Calle Luis Munoz Rivera #39
Edificio Yoed Oficina No 3
Sabana Grande, PUERTO RICO 00637
UM

Phone

(787) 873-4948

Fax

(787) 873-4948

NPI assigned

Oct 24, 2005

Last updated

Oct 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Perea Hospital, Mayaguez, PR, CCN 400123

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Hospital San Antonio Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1912987629
  NPD (past)
• Mayaguez Medical Center - San Antonio Inc

  dba Mayaguez Medical Center San Antonio

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1326835703
  NPD (past)
• Metro Mayaguez Inc

  dba Hospital Perea

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1821082918
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Metro Mayaguez Inc

  dba Hospital Perea

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1821082918
  Care Compare affiliation

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1043200843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STREET NO 39 AVE LUIS MUNOZ RIVERA",
            "address_2": "EDIFICIO YOED",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006831523"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "CALLE LUIS MUNOZ RIVERA #39",
            "address_2": "EDIFICIO YOED OFICINA NO 3",
            "city": "SABANA GRANDE",
            "state": "PUERTO RICO",
            "postal_code": "00637",
            "telephone_number": "787-873-4948",
            "fax_number": "787-873-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO OLIVERAS",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.