Ianira Marie Pacheco Otero

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

254 Issued in PR

Practice address

C17 Calle Marginal
Bayamon, PR 00961-6706

Phone

(787) 780-1273

Fax

(787) 786-8690

NPI assigned

Jul 9, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Medicplus Transport

  • Non-emergency Medical Transport (VAN)
  • Vega Alta, PR
  • NPI 1538816491
  NPD

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1598383184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 CALLE PADRE RIVERA",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006925834",
            "telephone_number": "939-286-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C17 CALLE MARGINAL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616706",
            "telephone_number": "787-780-1273",
            "fax_number": "787-786-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO OTERO",
        "first_name": "IANIRA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "PR",
            "license": "254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P.R. Clinical and Forensic Psychological Services Inc.
• Jennifer Pabon Crespo, MD
• Lilliam Pabon Nieves
• Camille Pabon Suarez, THL
• Marilu Pacheco Cuadrado
• Jounex Nicole Pacheco Perez, MD
• Luis Armando Pacheco Perez, D.M.D
• Olga E Pacheco, MD
• Jose L. Padilla Carreras, M.D.
• Samuel Padilla Machuca, MD

• Health Educator in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Health Educator in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.