Pedro Antonio Pacheco Maldonado, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

13468 Issued in PR

Practice address

Road 985 KM 4.1 (Box 5323)
Bo. Florencio
Fajardo, PR 00738

Phone

(787) 863-5882

Fax

(787) 863-1114

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1326037698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 66 BOX 5323",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007389606",
            "telephone_number": "787-863-5882",
            "fax_number": "787-863-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 985 KM 4.1 (BOX 5323)",
            "address_2": "BO. FLORENCIO",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-863-5882",
            "fax_number": "787-863-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO MALDONADO",
        "first_name": "PEDRO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PR",
            "license": "13468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose R Ortiz
• Nicole E Ortiz
• Yma Osorio, M.D.
• Jose E Otero Garcia, M.D.
• Lareishka Mairym Otero Jimenez
• Roberto Luis Padilla Lozada
• Grace Palmer Quinones, MD
• Raiza M Parrilla-Calo, LND
• Stephanie L Parson Perez
• Ramon Antonio Pastrana Maldonado, M.D.

• Public Health & General Preventive Medicine Physician in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Public Health & General Preventive Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.