Gedalis Pabon San Inocencio

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

Bo. Machuelo, Edificio San Lucas #2
Carr. 14
Ponce, PR 00931

Phone

(787) 429-5059

NPI assigned

Aug 7, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1346125622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB COUNTRY CLUB",
            "address_2": "OB10 CALLE 502 4TA EXT",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-429-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. MACHUELO, EDIFICIO SAN LUCAS #2",
            "address_2": "CARR. 14",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00931",
            "telephone_number": "787-429-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABON SAN INOCENCIO",
        "first_name": "GEDALIS",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Own Bussiness
• Oxygen and Respiratory Care of P.R.
• Oye-Aud
• P.T.O.T. Inc
• Josue Emmanuel Pabon Maldonado, STUDENT
• Karen D. Pabon, MSW
• Raixamarie Pacheco Caquias
• Isabella Cecilia Pacheco Cruz
• Andrea M Pacheco Diaz
• Biankinette Pacheco Miranda

• Psychologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.