Individual provider Active NPI

Juan R Pillot Costas, MD

  • Family Medicine Physician
  • Guayanilla, PR
National Provider Identifier
1154307015
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10019 Issued in PR
Practice address
135 Calle Luis Munoz Rivera
Suite #2
Guayanilla, PR 00656
Phone
(787) 835-5956
Fax
(787) 835-5959
NPI assigned
Dec 21, 2005
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10019 PR
Family Medicine Physician 207Q00000X 10019 PR Primary

Addresses

Primary practice location

135 Calle Luis Munoz Rivera
Suite #2
Guayanilla, PR 00656

Mailing address

PO Box 8042
Ponce, PR 00732-8042
Phone (787) 835-5956

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
I20080626000061 PR Practitioner - Family Practice 7214009802 Practice locations: Guayanilla, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Yauco Healthcare Corporation Past Accepting new patients
Elite Medical Group Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1154307015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8042",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007328042",
            "telephone_number": "787-835-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CALLE LUIS MUNOZ RIVERA",
            "address_2": "SUITE #2",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "00656",
            "telephone_number": "787-835-5956",
            "fax_number": "787-835-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLOT COSTAS",
        "first_name": "JUAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "10019",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "10019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayanilla, PR

Sources for this page

Verify at the official NPI Registry.