Organization Active NPI

Optometras Pacheco PSC

  • Optometrist
  • Guaynabo, PR
National Provider Identifier
1184625618
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
518 Issued in PR
Legal business name
OPTOMETRAS PACHECO PSC
Practice address
San Patricio Apts
Al Lado de Bed, Bath and Beyond
Guaynabo, PR 00968-3200
Phone
(787) 749-0909
Fax
(787) 749-1213
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ramon Pacheco
Title
Optometrist
Phone
(787) 749-0909

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 89 PR
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 103 PR
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 518 PR Primary

Addresses

Primary practice location

San Patricio Apts
Al Lado de Bed, Bath and Beyond
Guaynabo, PR 00968-3200

Mailing address

11 Calle Principal
Guaynabo, PR 00966-2028
Phone (787) 783-8994

National Provider Directory

National Provider Directory

Locations

100 Ave San Patricio
Ste A2
Guaynabo, PR 00968
Phone (787) 749-0909

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184625618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CALLE PRINCIPAL",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662028",
            "telephone_number": "787-783-8994",
            "fax_number": "787-783-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN PATRICIO APTS",
            "address_2": "AL LADO DE BED, BATH AND BEYOND",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683200",
            "telephone_number": "787-749-0909",
            "fax_number": "787-749-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRAS PACHECO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "787-749-0909",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "89",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "103",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.