Mario E Paulino, M.D.

Primary specialty

Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X

License

11676 Issued in PR

Practice address

253 Calle San Jorge
Hospital San Jorge Suite 302C
San Juan, PR 00912

Phone

(787) 727-1000

NPI assigned

Mar 21, 2006

Last updated

Nov 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Departamento de Salud Oficial

  dba Centro de Salud Familiar Susana Centeno

  • Rural Acute Care Hospital
  • Vieques, PR
  • NPI 1770703845
  Medicare reassignment NPD
• Dr. Mario Paulino Serv. Med. Ped. Y Emerg.

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • San Juan, PR
  • NPI 1205912631
  Authorized official Same address or phone
• Departamento de Salud Oficial

  dba Centro de Salud Familar de Adjuntas

  • Emergency Care Clinic/Center
  • Adjuntas, PR
  • NPI 1184827370
  NPD

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1639138332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70344",
            "address_2": "PMB 14",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-400-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 CALLE SAN JORGE",
            "address_2": "HOSPITAL SAN JORGE SUITE 302C",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-727-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULINO",
        "first_name": "MARIO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "PR",
            "license": "11676",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "11676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naisha Pastrana, MSW
• Yahaira M. Patin-Betancourt
• Jorge A. Patino, DMD
• Patricia Rodriguez Reyes P.S.C
• Diana A Paulino Rivera, PHARM D.
• Andres Antonio Pavarini Boscio
• Pavia Research Center, LLC
• Antonio M Pavia, M.D.
• Sylvia N. Payne, M.D.
• Ivan M. Paz, NL, ND

• Pediatric Emergency Medicine (Emergency Medicine) Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatric Emergency Medicine (Emergency Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.