Individual provider Active NPI

Julio A Baco, M.D.

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1295818730
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16637 Issued in PR
Practice address
Ave Hostos
Clinica de Inmunologia (Cptet)
Mayaguez, PR 00682-6353
Phone
(787) 834-2118
NPI assigned
Oct 20, 2006
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16637 PR Primary

Addresses

Primary practice location

Ave Hostos
Clinica de Inmunologia (Cptet)
Mayaguez, PR 00682-6353

Mailing address

PO Box 173
Hormigueros, PR 00660-0173

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070314000492 PR Practitioner - General Practice 0345343273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Departamento de Salud OficialGroup PAC ID 9537170162, 11 clinicians

Practice addresses (Care Compare)

Barrio Destino Carr 997 KM 1 HM
0 Centro de Salud Familiar Susana Centeno
Vieques, PR 00765
Phone (787) 741-0392

Brisas Las Marias
Calle Geminis 206
Vieques, PR 00765
Phone (787) 409-4250

PO Box
Suite 326
Vieques, PR 00765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16637PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Departamento de Salud Oficial CurrentSince Jan 2, 2025 Accepting new patients
Departamento de Salud Oficial CurrentSince Jan 2, 2025 Accepting new patients
Centro Ararat, Inc. CurrentSince Apr 10, 2016 Accepting new patients
Departamento de Salud Oficial Current Accepting new patients
Centro Ararat Inc CurrentSince Apr 10, 2016 Accepting new patients

Locations

8169 Calle Concordia
Ste 412
Ponce, PR 00717
Phone (787) 284-5584

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1295818730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006600173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE HOSTOS",
            "address_2": "CLINICA DE INMUNOLOGIA (CPTET)",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826353",
            "telephone_number": "787-834-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACO",
        "first_name": "JULIO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.