Organization Active NPI

Clinica Veritas LLC

Doing business as Dr. Fabio Besu Pastor

  • Psychologist
  • Mayaguez, PR
National Provider Identifier
1235846833
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CLINICA VERITAS LLC
Doing business as
Dr. Fabio Besu Pastor
Practice address
19 Calle Peral Edificio la Palma
Suite 3-E
Mayaguez, PR 00680
Phone
(787) 948-8428
NPI assigned
Nov 2, 2022
Last updated
Nov 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Fabio Eugenio Besu, PSYD
Title
President/Psychologist
Phone
(787) 948-8428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

19 Calle Peral Edificio la Palma
Suite 3-E
Mayaguez, PR 00680

Mailing address

19 Calle Peral Edificio la Palma
Suite 3-E
Mayaguez, PR 00680
Phone (787) 948-8428

Other names 1

  • Dr. Fabio Besu Pastor Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230206003114 PR Part B Supplier - Clinic/Group Practice 8426420134 Receives reassigned benefits from 1 practitioner
Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory

Locations

19 Calle Peral Edificio la
Mayaguez, PR 00680
Phone (787) 948-8428

19 Calle Peral Edificio la Palma Ste 3E
Ste 3E
Mayaguez, PR 00680
Phone (787) 948-8428

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1235846833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CALLE PERAL EDIFICIO LA PALMA",
            "address_2": "SUITE 3-E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-948-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CALLE PERAL EDIFICIO LA PALMA",
            "address_2": "SUITE 3-E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-948-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA VERITAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-10-30",
        "status": "A",
        "authorized_official_last_name": "BESU",
        "authorized_official_first_name": "FABIO",
        "authorized_official_middle_name": "EUGENIO",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "787-948-8428",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Fabio Besu Pastor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.