Michele C Marcantoni Pacheco, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22509 Issued in PR

Practice address

Calle Laurel Sur BB13
Dorado, PR 00646

Phone

(787) 402-3170

NPI assigned

Feb 3, 2020

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatrix Medical Group of Puerto Rico, P.S.C

  • Emergency Medical Services (Emergency Medicine) Physician
  • Arecibo, PR
  • NPI 1255319703
  Medicare reassignment NPD
• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Naranjito, PR
  • NPI 1578586244
  Medicare reassignment NPD
• Salud Integral En la Montana, Inc.

  • Federally Qualified Health Center (FQHC)
  • Barranquitas, PR
  • NPI 1316970833
  Medicare reassignment NPD
• Salud Integral En la Montana, Inc.

  • Federally Qualified Health Center (FQHC)
  • Toa Alta, PR
  • NPI 1639372618

  General Practice

  Medicare reassignment NPD
• Salud Integral En la Montana, Inc

  • Radiology Clinic/Center
  • Barranquitas, PR
  • NPI 1801347505
  NPD
• Salud Integral En la Montana, Inc

  • Radiology Clinic/Center
  • Naranjito, PR
  • NPI 1861973182
  NPD
• Salud Integral En la Montana, Inc.

  • Federally Qualified Health Center (FQHC)
  • Toa Alta, PR
  • NPI 1609250935

  General Practice

  NPD
• Salud Integral En la Montana, Inc.

  • Clinic/Center
  • Dorado, PR
  • NPI 1760371868
  NPD

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1568093060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BB13 CALLE LAUREL S",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464753",
            "telephone_number": "787-402-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LAUREL SUR BB13",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-402-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCANTONI PACHECO",
        "first_name": "MICHELE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maga Martinez PSC
• Keidy I. Maldonado Aponte, L.N.D.
• Sandra N Maldonado-Rivera, M.D.
• Joanne Marie Maldonado, PSY D
• Margarita Aurelia Mankus, MD
• Marie Med Corp
• Yasmin Marin Torres, PHARMD
• Ingrid Milagros Marino, MD
• Oscar Marrero Ortiz, MD
• Franches Mary Marrero

• General Practice Physician in Dorado, PR
• Providers in Dorado, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.