Active NPI
Carlos Pacheco, MD
- Obstetrics & Gynecology Physician
- Humacao, PR
National Provider Identifier
1255394565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 230833
- Practice address
- Calle Rafael Arroyo Rios #7
Humacao, PR 00791 - Phone
- (787) 850-1685
- NPI assigned
- Apr 8, 2006
- Last updated
- Oct 17, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 230833 | NY | Primary |
Addresses
Primary practice location
Calle Rafael Arroyo Rios #7
Humacao, PR 00791
Mailing address
1373 Calle Luchetti
Apt 201
San Juan, PR 00907-2003
Phone (787) 457-7431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02522934 | Medicaid | NY |
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 |
|---|---|---|---|---|
| I20121024000474 | PR | Practitioner - Obstetrics/Gynecology | 5092792473 | Practice locations: Humacao, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7 Calle Rafael Arroyo Rios
Humacao, PR 00791
Phone (787) 850-1695
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caribe Physicians Plaza Corporation | Past | Accepting new patients | |
| Corporacion Profesional Salud | Past | Accepting new patients | |
| D & B Consultants, Inc | Past | Accepting new patients |
Organizations & group practices 3
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 Caribbean Medical Center
- General Acute Care Hospital
- Fajardo, PR
- NPI 1215051404
-
dba Corporacion Profesional Salud Femenina en Excelencia
- Exclusive Provider Organization
- Humacao, PR
- NPI 1235432584
-
- Psychologist
- Humacao, PR
- NPI 1295907145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1255394565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1373 CALLE LUCHETTI",
"address_2": "APT 201",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009072003",
"telephone_number": "787-457-7431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE RAFAEL ARROYO RIOS #7",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-850-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "CARLOS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "230833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02522934",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.