Individual provider Active NPI

Paola Cristina Tabaro Pico, MD

  • Diagnostic Radiology Physician
  • Guaynabo, PR
National Provider Identifier
1730668385
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
024372 Issued in PR
Practice address
16 Carr 833 Apt 3404
Guaynabo, PR 00969-7424
Phone
(787) 221-7434
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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 024372 PR Primary

Addresses

Primary practice location

16 Carr 833 Apt 3404
Guaynabo, PR 00969-7424

Mailing address

16 Carr 833 Apt 3404
Guaynabo, PR 00969-7424
Phone (787) 221-7434

Other practice location 1

3930 Calle Aurora Apt 303
Ponce, PR 00717-1796
Phone (787) 221-7434

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
I20250627000038 PR Practitioner - Diagnostic Radiology 5496083255 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Menonita de CayeyGroup PAC ID 2466449657, 57 clinicians
Hospital Menonita Caguas IncGroup PAC ID 8921254780, 48 clinicians

Practice addresses (Care Compare)

Carretera 14 Interior
Bo Rincon
Cayey, PR 00737-2800
Phone (787) 434-1700

PO Box
Suite 372800
Cayey, PR 00737-2800

Salida 21 Caguas a Cidra
Urb Turabo Garden
Caguas, PR 00725-0000
Phone (787) 434-1700

Hospital & facility affiliations

  • Hospital Menonita de Cayey Hospital, Cayey, PR, CCN 400013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024372PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc. CurrentSince Nov 20, 2025 Accepting new patients
Hospital Menonita de Cayey Current Accepting new patients
Mennonite General Hospital Inc. CurrentSince Nov 20, 2025 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Jun 1, 2025 Accepting new patients
Hospital Menonita de Cayey Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Hospital Menonita Caguas Inc Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1730668385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CARR 833 APT 3404",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009697424",
            "telephone_number": "787-221-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CARR 833 APT 3404",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009697424",
            "telephone_number": "787-221-7434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3930 Calle Aurora Apt 303",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007171796",
            "country_code": "US",
            "telephone_number": "787-221-7434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABARO PICO",
        "first_name": "PAOLA",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "024372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.