Individual provider Active NPI

Pablo F Morales Carrasquillo, M.D.

  • Diagnostic Radiology Physician
  • Dorado, PR
National Provider Identifier
1710911680
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5793 Issued in PR
Practice address
410 Calle Mendez Vigo
Dorado, PR 00646-4800
Phone
(787) 796-5425
Fax
(787) 796-5316
NPI assigned
Jul 10, 2006
Last updated
Aug 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5793 PR Primary

Addresses

Primary practice location

410 Calle Mendez Vigo
Dorado, PR 00646-4800

Mailing address

PO Box 362338
San Juan, PR 00936-2338
Phone (787) 385-7776

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
I20060126000551 PR Practitioner - Diagnostic Radiology 3971521899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 Calle Mendez Vigo
Suite 206
Dorado, PR 00646-4815
Phone (787) 862-4124

Mendez Vigo
410 Suite 206 207
Dorado, PR 00646-4800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dorado X-Ray Center Diagnostic Radiology CurrentSince Feb 17, 1994 Accepting new patients
Mediko Imaging Inc. Diagnostic Radiology CurrentSince Aug 17, 2000 Accepting new patients
Dr Susoni Health Community Services Corp Past Accepting new patients
Mediko Imaging Inc. Past Accepting new patients
Mediko Imaging Inc. Past Accepting new patients
Mediko Imaging Inc. Past Accepting new patients
Dr Susoni Health Community Services Corp Past Accepting new patients

Locations

410 Calle Mendez Vigo
Ste 206
Dorado, PR 00646
Phone (787) 862-4124

3 Calle Jesus T Pinero
Las Piedras, PR 00771
Phone (787) 733-2353

57 Calle Munoz Rivera N
San Lorenzo, PR 00754
Phone (787) 736-0630

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1710911680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362338",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009362338",
            "telephone_number": "787-385-7776",
            "fax_number": "787-796-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CALLE MENDEZ VIGO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464800",
            "telephone_number": "787-796-5425",
            "fax_number": "787-796-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES CARRASQUILLO",
        "first_name": "PABLO",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "5793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.