Active NPI
North Shore Orthopaedics, PSC
- Orthopaedic Surgery Physician
- Aguadilla, PR
National Provider Identifier
1801867635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 15174
- Legal business name
- NORTH SHORE ORTHOPAEDICS, PSC
- Practice address
- 18 Ave. Severiano Cuevas
Hosp. Buen Samaritano Suite 100
Aguadilla, PR 00603 - Phone
- (787) 882-5100
- Fax
- (787) 882-5140
- NPI assigned
- Jan 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ivan Humberto Pacheco, MD
- Title
- President
- Phone
- (787) 882-5100
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 15174 | PR | Primary |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 15174 | PR | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 15174 | PR | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 15174 | PR |
Addresses
Primary practice location
18 Ave. Severiano Cuevas
Hosp. Buen Samaritano Suite 100
Aguadilla, PR 00603
Mailing address
PO Box 5221
Aguadilla, PR 00605-5221
Phone (787) 882-5100
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1801867635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5221",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006055221",
"telephone_number": "787-882-5100",
"fax_number": "787-882-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 AVE. SEVERIANO CUEVAS",
"address_2": "HOSP. BUEN SAMARITANO SUITE 100",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-882-5100",
"fax_number": "787-882-5140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE ORTHOPAEDICS, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-30",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PACHECO",
"authorized_official_first_name": "IVAN",
"authorized_official_middle_name": "HUMBERTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-882-5100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "PR",
"license": "15174",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "PR",
"license": "15174",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "PR",
"license": "15174",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "PR",
"license": "15174",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.