Individual provider Active NPI

Pablo Pastrana, M.D.

  • Specialist
  • Aguas Buenas, PR
National Provider Identifier
1104878693
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9475 Issued in PR
Practice address
33 Calle Munoz Rivera
Aguas Buenas, PR 00703-3215
Phone
(787) 732-5970
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9475 PR Primary

Addresses

Primary practice location

33 Calle Munoz Rivera
Aguas Buenas, PR 00703-3215

Mailing address

PO Box 1283
Aguas Buenas, PR 00703-1283
Phone (787) 732-5970

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
I20110202000604 PR Practitioner - General Practice 6507046968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

43 Calle Munoz Rivera
Aguas Buenas, PR 00703-3210
Phone (787) 732-5970

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9475PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Pablo a. Pastrana Maldonado CSP Specialist CurrentSince Nov 30, 2012 Accepting new patients

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1104878693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1283",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007031283",
            "telephone_number": "787-732-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CALLE MUNOZ RIVERA",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007033215",
            "telephone_number": "787-732-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTRANA",
        "first_name": "PABLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "9475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguas Buenas, PR

Sources for this page

Verify at the official NPI Registry.