Pablo Omar Acosta Garayua

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

32986-R Issued in PR

Practice address

PO Box 365067
San Juan, PR 00936-5067

Phone

(787) 758-2525

Fax

(787) 754-0710

NPI assigned

Mar 6, 2018

Last updated

Mar 6, 2018By the provider in NPPES

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

Other identifiers 1

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

Pathology

Education

University of Puerto Rico School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Pathology Services IncGroup PAC ID 7214259506, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044
• Mayaguez Medical Center Dr Ramon Emeterio Betances Hospital, Mayaguez, PR, CCN 400103

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Southern Pathology Services, Inc.

  • Anatomic Pathology Physician
  • Ponce, PR
  • NPI 1134119233
  Medicare reassignment Care Compare group NPD
• Southern Pathology Services, Inc.

  dba Laboratorio Clinico y Molecular Southern Pathology Services, Inc.

  • Clinical Medical Laboratory
  • Ponce, PR
  • NPI 1154586808
  NPD

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

• Mayaguez Medical Center Dr Ramon Emeterio Betances Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1013140383
  Care Compare affiliation
• Saint Lukes Memorial Hospital Inc

  dba Hospital San Lucas

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1841295557
  Care Compare affiliation

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1457853483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 11946",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006989608",
            "telephone_number": "787-450-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 365067",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-758-2525",
            "fax_number": "787-754-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA GARAYUA",
        "first_name": "PABLO",
        "middle_name": "OMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "32986-R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISCENCE",
            "identifier": "32986-R",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaelis C Acevedo
• Zaritza S. Acevedo, AUDIOLOGIST
• Achieve LLC
• Luis Andres Acosta Clas, MD
• Mario P. Acosta Duarte, M.D.
• Gabriel Antonio Acosta Gonzalez, M.D.
• Ana Lucia Acosta Leon, MS
• Fabiola Andrea Acosta Nunez
• Acosta Pardo LLC
• Eduardo Acosta Pumarejo, MD

• Anatomic Pathology & Clinical Pathology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Anatomic Pathology & Clinical Pathology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.