Individual provider Active NPI

Jorge Gago Pinero, M.D.

  • Neuroradiology Physician
  • San Juan, PR
National Provider Identifier
1467628230
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
15217 Issued in PR
Practice address
10 Calle Casia
Hospital Veteranos
San Juan, PR 00921-3200
Phone
(787) 641-7582
NPI assigned
May 1, 2008
Last updated
Jan 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 15217 PR Primary
Diagnostic Radiology Physician 2085R0202X 15217 PR

Addresses

Primary practice location

10 Calle Casia
Hospital Veteranos
San Juan, PR 00921-3200

Mailing address

13 Camino Los Baez, Cond. El Bosque
Apt 208
Guaynabo, PR 00971
Phone (787) 457-4003

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141218000620 PR Practitioner - Diagnostic Radiology 0244553501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mennonite General Hospital IncGroup PAC ID 6709843964, 47 clinicians

Practice addresses (Care Compare)

Calle Jose C Vazquez
Barrio Caonillas
Aibonito, PR 00705-1379
Phone (787) 434-1700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15217PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc. CurrentSince Apr 1, 2021 Accepting new patients
Centro Medico del Turabo Inc Neuroradiology CurrentSince Jun 22, 2019 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 22, 2019 Accepting new patients
Mennonite General Hospital Inc CurrentSince Apr 1, 2021 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1467628230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CAMINO LOS BAEZ, COND. EL BOSQUE",
            "address_2": "APT 208",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00971",
            "telephone_number": "787-457-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE CASIA",
            "address_2": "HOSPITAL VETERANOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213200",
            "telephone_number": "787-641-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGO PINERO",
        "first_name": "JORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PR",
            "license": "15217",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "15217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.