Javier Ivan Pacheco, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19216 Issued in PR

Practice address

E35 Calle 2
Urb Los Rosales
Humacao, PR 00791-3105

Phone

(787) 585-0175

NPI assigned

Sep 1, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospital Menonita de Cayey

  • General Acute Care Hospital
  • Cayey, PR
  • NPI 1750317764
  Medicare reassignment NPD
• Hospital Menonita de Cayey

  • Specialist
  • Cayey, PR
  • NPI 1255461893

  General Practice

  NPD

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1326595752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E35 CALLE 2",
            "address_2": "URB LOS ROSALES",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913105",
            "telephone_number": "787-585-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E35 CALLE 2",
            "address_2": "URB LOS ROSALES",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913105",
            "telephone_number": "787-585-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "JAVIER",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19216",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PR",
            "license": "19216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milagros Ortiz, MD
• Ariana Osorio, PHARMACY TECH
• Otis Orthodontics PSC
• Sixto Pacheco-Garcia, O.D.
• Carlos Pacheco, MD
• Carlos Padilla-Torres, O.D.
• Joanneth Marie Padro Serrano, MD
• Diego Armando Pagan Santos, MD
• Veronica Pagan-Santini, DMD
• Evelyn Pagan

• General Practice Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.