Active NPI
Hector L Pesquera Sevillano, MD
- Family Medicine Physician
- San Juan, PR
National Provider Identifier
1588633713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5470
- Practice address
- 1028 Ave Roosevelt
Puerto Nuevo
San Juan, PR 00920-2904 - Phone
- (787) 781-8272
- NPI assigned
- Mar 17, 2006
- Last updated
- Aug 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5470 | PR | Primary |
Addresses
Primary practice location
1028 Ave Roosevelt
Puerto Nuevo
San Juan, PR 00920-2904
Mailing address
K3 Ave Carbonell
Versalles
Bayamon, PR 00959-2145
Phone (787) 781-8316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medicos de Familia Imf, CSP | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- San Juan, PR
- NPI 1922339225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471564800000",
"number": "1588633713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "K3 AVE CARBONELL",
"address_2": "VERSALLES",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009592145",
"telephone_number": "787-781-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 AVE ROOSEVELT",
"address_2": "PUERTO NUEVO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009202904",
"telephone_number": "787-781-8272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESQUERA SEVILLANO",
"first_name": "HECTOR",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2016-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "5470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.