Sixto Diego Pacheco, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

103 Issued in PR

Practice address

100 Ave San Patricio
Ste A2
Guaynabo, PR 00968-2629

Phone

(787) 749-0909

Fax

(787) 749-1213

NPI assigned

Feb 6, 2007

Sex

Male

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1457491003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AVE SAN PATRICIO",
            "address_2": "STE A2",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682629",
            "telephone_number": "787-749-0909",
            "fax_number": "787-749-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE SAN PATRICIO",
            "address_2": "STE A2",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682629",
            "telephone_number": "787-749-0909",
            "fax_number": "787-749-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "SIXTO",
        "middle_name": "DIEGO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Pabon Rodriguez, 0825B
• Fabiola Pabon
• Yolanda Pacheco Gonzalez, 1181B
• Doris V Pacheco Nieves, 1268P
• Camille Marie Pacheco, OD
• Yvette Lorraine Pacheco, M.D
• Dayane Marie Padilla Andujar, PR
• Fernando L Padilla Jimenez, 0222B
• Jose Padilla Jimenez, 1135P
• Angel Luis Padilla, VT

• Optometrist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.