Individual provider Active NPI

Ruben Antonio Jesus Tresgallo Pares

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Boston, MA
National Provider Identifier
1396292603
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
1019486 Issued in MA
Practice address
75 Francis St
Boston, MA 02115-6110
Phone
(617) 732-5622
NPI assigned
Sep 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X A184415 CA
Orthopaedic Surgery Physician 207X00000X 21777 PR
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0114X 1019486 MA Primary

Addresses

Primary practice location

75 Francis St
Boston, MA 02115-6110

Mailing address

1353 Calle 19
PMB 192
Guaynabo, PR 00966-2700
Phone (787) 921-2050

Other practice location 1

Carr 3 Km 8.3 Ave 65 Infanteria
Carolina, PR 00984
Phone (787) 769-4520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, PR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240730002341 MA Practitioner - Orthopedic Surgery 0648627893 Reassigns benefits to 1 organization
I20250506000100 PR Practitioner - Orthopedic Surgery 0648627893 Reassigns benefits to 3 organizations
Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dorado Health IncGroup PAC ID 8123930526, 4 clinicians
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Calle Hernandez Carrion
Urb Atenas
Manati, PR 00674-1142
Phone (787) 621-3700

Calle Pitirre C-20 Urb Monseratte
Manati, PR 00674-1142

Centro Medico de PR
Bo Monacillos Adm de Servicios Medicos
Rio Piedras, PR 00935
Phone (787) 777-3535

PO Box
Suite 1142
Manati, PR 00674-1142

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement47
Knee replacement53
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A184415CAMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc Multi-Specialty CurrentSince Jul 29, 2024 Accepting new patients
Dorado Health Inc Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
RTP Orthopedics LLC Multi-Specialty CurrentSince Feb 1, 2026 Accepting new patients
Recinto de Ciencias Medicas Multi-Specialty CurrentSince Jul 1, 2025 Accepting new patients
Recinto de Ciencias Medicas Multi-Specialty CurrentSince Jul 1, 2025 Accepting new patients
JFK Ortho LLC Multi-Specialty PastSince Feb 1, 2026 Accepting new patients
Departamento de Salud Oficial Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

62 13th St
Charlestown, MA 02129
Phone (617) 724-3874

Centro Medico De
San Juan, PR 00935
Phone (781) 763-4149

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1396292603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 CALLE 19",
            "address_2": "PMB 192",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662700",
            "telephone_number": "787-921-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-5622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 3 Km 8.3 Ave 65 Infanteria",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00984",
            "country_code": "US",
            "telephone_number": "787-769-4520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRESGALLO PARES",
        "first_name": "RUBEN",
        "middle_name": "ANTONIO JESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-02",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "A184415",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "21777",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MA",
            "license": "1019486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.