Angel A Pacheco-Vega, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

13076 Issued in PR

Practice address

27 Nelson Perea St
Suite 203 Doctors Center
Mayaguez, PR 00680

Phone

(787) 833-3096

Fax

(787) 833-3096

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1144311838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 CATETAL ST",
            "address_2": "HACIENDAS CONSTANCIA",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "787-833-3096",
            "fax_number": "787-833-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 NELSON PEREA ST",
            "address_2": "SUITE 203 DOCTORS CENTER",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-833-3096",
            "fax_number": "787-833-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO-VEGA",
        "first_name": "ANGEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "13076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "13076",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Otologic PSC
• Otologics, P.S.C.
• P.J.M. Surgical, P.S.C.
• Diego E Pablos, M.D.
• Nefmarie Pacheco-Segarra, PHARMD
• Bredwin Joel Padilla Maldonado
• Damaris Padilla
• Joannie Ivelisse Padilla
• Sofia Padilla, MD
• Antonio Mariano Padua-Ramos, MD

• Pediatrics Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.