Individual provider Active NPI

Hector L Pesquera Sevillano, MD

  • Family Medicine Physician
  • San Juan, PR
National Provider Identifier
1588633713
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5470 Issued in PR
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.