Active NPI
Monica Marie Pacheco, MD
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Manati, PR
National Provider Identifier
1164670980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Ophthalmology and Strabismus Specialist Physician
- License
- 15390
- Practice address
- 200 Calle Hernandez Carrion Ste 301
Manati, PR 00674-4652 - Phone
- (939) 440-9200
- Fax
- (301) 987-0097
- NPI assigned
- Sep 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D68147 | MD | |
| Ophthalmology Physician | 207W00000X | 15390 | PR | |
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | 15390 | PR | Primary |
Addresses
Primary practice location
200 Calle Hernandez Carrion Ste 301
Manati, PR 00674-4652
Mailing address
15235 Shady Grove Rd Ste 101
Rockville, MD 20850-6273
Phone (301) 330-1366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D68147 | MD | MD | Ophthalmology Physician |
| 15390 | PR | MD | Pediatric Ophthalmology and Strabismus Specialist Physician Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ojitos Oftalmologia Pediatrica CSP | Ophthalmology | Current | Accepting new patients |
| Frederick Health Hospital 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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Manati, PR
- NPI 1427476878
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1164670980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15235 SHADY GROVE RD STE 101",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506273",
"telephone_number": "301-330-1366",
"fax_number": "301-987-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CALLE HERNANDEZ CARRION STE 301",
"city": "MANATI",
"state": "PR",
"postal_code": "006744652",
"telephone_number": "939-440-9200",
"fax_number": "301-987-0097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "MONICA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D68147",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PR",
"license": "15390",
"primary": false
},
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "PR",
"license": "15390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.