Pablo Juan, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

3944 Issued in PR

Practice address

C7 Camino Real
Paseo del Prado
San Juan, PR 00926-5906

Phone

(787) 646-4732

Fax

(787) 283-3266

NPI assigned

Aug 22, 2007

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1457544561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEO DEL PRADO C 7 CAMINO REAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-646-4732",
            "fax_number": "787-283-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C7 CAMINO REAL",
            "address_2": "PASEO DEL PRADO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265906",
            "telephone_number": "787-646-4732",
            "fax_number": "787-283-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAN",
        "first_name": "PABLO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "3944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JS Sport Medicine, PSC
• JSR Colorectal PSC
• JSS Nephrology, PSC
• Ricardo Luis Ju, CRT
• Juan Jose Bayron Justiniano, CSP
• William Juarbe Jr.
• Yolanda Milagros Julia Padro
• Sachelly Julian-Serrano, MHSN, RD, LDN
• Joseph Anthony Julier, CPHT
• Junta del Centro Dr Jose S Belaval

• All providers in San Juan, PR
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.