Organization Active NPI

Dr. Pablo a. Pastrana Maldonado CSP

  • Specialist
  • Aguas Buenas, PR
National Provider Identifier
1467633222
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DR. PABLO A. PASTRANA MALDONADO CSP
Practice address
33 Calle Munoz Rivera
Aguas Buenas, PR 00703-3215
Phone
(787) 732-5970
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Dr. Pablo Pastrana, M.D.NPI 1104878693
Title
Doctor
Phone
(787) 732-5970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PR Primary

Addresses

Primary practice location

33 Calle Munoz Rivera
Aguas Buenas, PR 00703-3215

Mailing address

33 Calle Munoz Rivera
PO Box 1283
Aguas Buenas, PR 00703-3215
Phone (787) 732-5970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130402000253 PR Part B Supplier - Clinic/Group Practice 7719122373 Receives reassigned benefits from 1 practitioner
Practice locations: Aguas Buenas, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1467633222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CALLE MUNOZ RIVERA",
            "address_2": "PO BOX 1283",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007033215",
            "telephone_number": "787-732-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CALLE MUNOZ RIVERA",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007033215",
            "telephone_number": "787-732-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PABLO A. PASTRANA MALDONADO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "PASTRANA",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-732-5970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguas Buenas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.