Jean Carlo Gallardo Varela, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

1810 Issued in PR

Practice address

1395 San Rafael Apdo 11338
San Juan, PR 00910

Phone

(787) 766-7070

Fax

(787) 756-5207

NPI assigned

Aug 20, 2010

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

Specialty

Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

Ponce School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medicos Especializados de San JuanGroup PAC ID 3779760160, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Medicos Especializados de San Juan

  • Interventional Pain Medicine Physician
  • San Juan, PR
  • NPI 1548574635
  Medicare reassignment Care Compare group NPD
• Kayal Medical Group, LLC

  • Orthopaedic Surgery Physician
  • Franklin Lakes, NJ
  • NPI 1528729159

  Pain Medicine

  NPD
• Orthospine Group PSC

  • Orthopaedic Surgery of the Spine Physician
  • San Juan, PR
  • NPI 1952448425
  NPD (past)

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1366758922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8550",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100550",
            "telephone_number": "787-766-7070",
            "fax_number": "787-756-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 SAN RAFAEL APDO 11338",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-766-7070",
            "fax_number": "787-756-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO VARELA",
        "first_name": "JEAN",
        "middle_name": "CARLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "300961",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PR",
            "license": "1810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ivette Galindez Matos, MD
• Suleika Galindo-Vicens, M.D.
• Caridad Noelia Galindo, PHARMD
• Rafael A. Gallardo Mendez, M.D.
• Ambar Gallardo Rivera, NL
• Yeimilys Galloza Galloza
• Galope Anesthesia Services Corp
• Luz Delia Galvez, P.H.
• Gamenez Dental Corporation
• Iraida Gandara, RPH

• Pain Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pain Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.