Pablo Jose Decastro, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15123 Issued in PR

Practice address

830 Calle Vereda
Urb. Valle Verde
Ponce, PR 00716-3515

Phone

(787) 396-5183

NPI assigned

Apr 12, 2007

Last updated

Jul 8, 2007By 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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 Damas Inc

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1730159286
  Medicare reassignment NPD
• Wilderness Medical Corp

  • Primary Care Clinic/Center
  • Yauco, PR
  • NPI 1487105045
  NPD (past) Authorized official
• Wilderness Medical Corp

  • General Practice Physician
  • Ponce, PR
  • NPI 1760871792
  NPD (past) Authorized official
• Southern Anesthesia Associates LLC

  • Specialist
  • Ponce, PR
  • NPI 1336120153
  NPD

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083838759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CALLE VEREDA",
            "address_2": "URB. VALLE VERDE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163515",
            "telephone_number": "787-396-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 CALLE VEREDA",
            "address_2": "URB. VALLE VERDE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163515",
            "telephone_number": "787-396-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECASTRO",
        "first_name": "PABLO",
        "middle_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryknoll De la Paz, MD
• Adrian De la Rosa
• Gabriel De la Torre Bisot, M.D.
• Francisco Jose De Leon
• Monica Cristina De Leon
• Karim Joel Deconde Gaitan, MS, BS
• Pura Del Carmen Dedos, PSY.D.,M.A.
• Nilde J. Defendini Cordoliani, P.H.D.
• Deg Anesthesia Group, PSC
• Degmar Clinical Laboratory Inc

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.