Active NPI
Caleb S Pacheco Molina, MD
- Nephrology Physician
- Aguadilla, PR
National Provider Identifier
1184272874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 22368
- Practice address
- 18 Ave Severiano Cuevas
Hospital Buen Samaritano Lobby
Aguadilla, PR 00603 - Phone
- (787) 997-0101
- Fax
- (939) 697-6262
- NPI assigned
- Aug 27, 2019
- Last updated
- Feb 7, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 22368 | PR | |
| Nephrology Physician | 207RN0300X | 22368 | PR | Primary |
Addresses
Primary practice location
18 Ave Severiano Cuevas
Hospital Buen Samaritano Lobby
Aguadilla, PR 00603
Mailing address
Hospital Buen Samaritano
18 Ave Severiano Cuevas, Ground Floor
Aguadilla, PR 00603
Phone (787) 997-0101
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | OtherURL |
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 |
|---|---|---|---|---|
| I20240215004351 | PR | Practitioner - Nephrology | 2567806722 | Practice locations: Moca, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22368 | PR | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ayala Troche, MD, C.S.P. | Current | Accepting new patients | |
| CPM Nephrology LLC | Nephrology | Current | 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.
-
- Nephrology Physician
- Aguadilla, PR
- NPI 1578309829
-
- Medical Specialty Clinic/Center
- San German, PR
- NPI 1518569136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1184272874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HOSPITAL BUEN SAMARITANO",
"address_2": "18 AVE SEVERIANO CUEVAS, GROUND FLOOR",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-997-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 AVE SEVERIANO CUEVAS",
"address_2": "HOSPITAL BUEN SAMARITANO LOBBY",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-997-0101",
"fax_number": "939-697-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO MOLINA",
"first_name": "CALEB",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-27",
"last_updated": "2025-02-07",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "22368",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PR",
"license": "22368",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "OtherURL",
"affiliation": "N",
"address_1": "Carr #2 Km 173",
"city": "San German",
"state": "PR",
"country_code": "US",
"postal_code": "00683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.