Jose M Pou-Pacheco, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

3466 Issued in PR

Practice address

472 Ave Tito Castro
Edificio Marvesa Suite #302
Ponce, PR 00716-4703

Phone

(787) 842-2253

Fax

(787) 842-2253

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 12, 2016 through Apr 12, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1689714602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 AVE. TITO CASTRO",
            "address_2": "EDIFICIO MARVESA SUITE #302",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164703",
            "telephone_number": "787-842-2253",
            "fax_number": "787-842-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 AVE TITO CASTRO",
            "address_2": "EDIFICIO MARVESA SUITE #302",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164703",
            "telephone_number": "787-842-2253",
            "fax_number": "787-842-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POU-PACHECO",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "3466",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "3466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nestor Xavier Portalatin Luiggi, PSYD
• Monica L Portalatin Perez, MD
• Natalia Portalatin, PH. D.
• Gabriela Margarita Portilla Skerrett
• Ariel Portilla, MD
• Frances Poventud
• Nicole Marie Pozzi Maldonado
• PR Medical Ride Services
• Precision Medicine Transport Corp
• Precision Nuclear Diagnostics LLC

• Psychiatry Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.