Active NPI
Sixto Pacheco-Garcia, O.D.
- Optometrist
- Humacao, PR
National Provider Identifier
1689757171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 100
- Practice address
- 134 Kilometro 77.6
Humacao, PR 00791 - Phone
- (787) 850-0310
- Fax
- (787) 850-0411
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 100 | PR | Primary |
Addresses
Primary practice location
134 Kilometro 77.6
Humacao, PR 00791
Mailing address
Plaza Colobos Box 20,000
PMB 446
Canouanai, PR 00729
Phone (787) 776-8288
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100 | PR | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689757171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PLAZA COLOBOS BOX 20,000",
"address_2": "PMB 446",
"city": "CANOUANAI",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-776-8288",
"fax_number": "787-776-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 KILOMETRO 77.6",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-850-0310",
"fax_number": "787-850-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO-GARCIA",
"first_name": "SIXTO",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.