Individual provider Active NPI

Oscar William Nevarez-Pomales, MD

  • Dermatology Physician
  • Arecibo, PR
National Provider Identifier
1629496534
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
19377 Issued in PR
Practice address
Zona Industrial Victor Rojas 2
Carr 129
Arecibo, PR 00613-0000
Phone
(787) 385-5320
NPI assigned
Mar 29, 2014
Last updated
Oct 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 19377 PR Primary

Addresses

Primary practice location

Zona Industrial Victor Rojas 2
Carr 129
Arecibo, PR 00613-0000

Mailing address

23 Calle Emilia
Guaynabo, PR 00966-3956

Other identifiers 1

IdentifierTypeStateIssuer
19377OtherPRPUERTO RICO MEDICAL LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190617000108 PR Practitioner - Dermatology 5890028369 Reassigns benefits to 1 organization
Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 2014
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)

Bo Monacillos
Centro Medico de Puerto Rico
Rio Piedras, PR 00935
Phone (787) 777-3535

Hospital & facility affiliations

  • Asem Hospital, San Juan, PR, CCN 400127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Dermatology CurrentSince Mar 3, 2021 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Mar 3, 2021 Accepting new patients
Recinto de Ciencias Medicas Past Accepting new patients

Locations

BO Monacillos Centro Medico De Puerto Rico
San Juan, PR 00935
Phone (781) 763-4149

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1629496534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CALLE EMILIA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ZONA INDUSTRIAL VICTOR ROJAS 2",
            "address_2": "CARR 129",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130000",
            "telephone_number": "787-385-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVAREZ-POMALES",
        "first_name": "OSCAR",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-29",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "19377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO MEDICAL LICENSE",
            "identifier": "19377",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.