Paulette C. Pacheco-Lopez, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

18856 Issued in PR

Practice address

3950 Carr 176
Garden Valley Club Apt 108
San Juan, PR 00926-6737

Phone

(787) 671-1382

NPI assigned

Sep 10, 2007

Last updated

Aug 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Paulette C. Pacheco-Lopez Other name

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

Otolaryngology

Education

University of Puerto Rico School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Recinto de Ciencias Medicas

  dba Recinto de Ciencias Medicas-(OTO-CCC-RCM)

  • Otolaryngology/Facial Plastic Surgery Physician
  • San Juan, PR
  • NPI 1568565547
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1568657930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 CARR 176",
            "address_2": "GARDEN VALLEY CLUB APT 108",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266737",
            "telephone_number": "787-671-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 CARR 176",
            "address_2": "GARDEN VALLEY CLUB APT 108",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266737",
            "telephone_number": "787-671-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO-LOPEZ",
        "first_name": "PAULETTE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "18856",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0075253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULETTE",
            "last_name": "PACHECO-LOPEZ",
            "middle_name": "C.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Larissa Margarita Pacheco Ramos
• Marilyz Pacheco Rodriguez, PHARMD
• Yashaira M Pacheco Rodriguez, PHL
• Jose Antonio Pacheco Suarez, M.D.
• Melanie Pacheco Torres, PHARMD
• Ana Pacheco-Lozada, LND
• Angel L Pacheco-Rivera, M.D.
• Elyan Santiago Pacheco Jr.
• Hiram G Pacheco, RPH
• Maribel Mota Pacheco, BSN

• Otolaryngology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Otolaryngology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.