Active NPI
Manuel Pubillones, MD
- Psychiatry Physician
- San Juan, PR
National Provider Identifier
1700820537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 8887
- Practice address
- U3-4 Carr 21
Las Lomas
San Juan, PR 00921-3313 - Phone
- (787) 783-3440
- NPI assigned
- Jun 15, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 8887 | PR | Primary |
Addresses
Primary practice location
U3-4 Carr 21
Las Lomas
San Juan, PR 00921-3313
Mailing address
3550 Galt Ocean Dr
Apt 807
Fort Lauderdale, FL 33308-6848
Phone (402) 212-1254
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8887 | PR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700820537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 GALT OCEAN DR",
"address_2": "APT 807",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333086848",
"telephone_number": "402-212-1254",
"fax_number": "954-433-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "U3-4 CARR 21",
"address_2": "LAS LOMAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213313",
"telephone_number": "787-783-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUBILLONES",
"first_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "8887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.