Individual provider Active NPI

Ubaldo Planell Pabon, M.D.

  • General Practice Physician
  • Lares, PR
National Provider Identifier
1730284621
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13936 Issued in PR
Practice address
45 Calle Pedro Albizu Campos
Lares, PR 00669-2106
Phone
(787) 897-1038
NPI assigned
Sep 14, 2006
Last updated
Apr 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13936 PR Primary

Addresses

Primary practice location

45 Calle Pedro Albizu Campos
Lares, PR 00669-2106

Mailing address

45 Calle Pedro Albizu Campos
Lares, PR 00669-2106
Phone (787) 897-1038

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
I20040426001670 PR Practitioner - General Practice 7214924919 Reassigns benefits to 1 organization
Practice locations: Lares, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico Familiar, Corp. General Practice CurrentSince Jul 14, 2023 Accepting new patients

Locations

45 Calle Pedro Albizu Campos
Lares, PR 00669
Phone (787) 717-5123

Organizations & group practices 1

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1730284621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CALLE PEDRO ALBIZU CAMPOS",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006692106",
            "telephone_number": "787-897-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CALLE PEDRO ALBIZU CAMPOS",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006692106",
            "telephone_number": "787-897-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANELL PABON",
        "first_name": "UBALDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

Verify at the official NPI Registry.