Active NPI
Juan R Pillot Costas, MD
- Family Medicine Physician
- Guayanilla, PR
National Provider Identifier
1154307015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10019
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Hospital Pavia Yauco
- General Acute Care Hospital
- Yauco, PR
- NPI 1760475388
-
- Clinic/Center
- NPI 1912228529
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.