Active NPI
Eduardo Ochoa-Bacallao, M.D.
- Pediatric Critical Care Medicine Physician
- Hato Rey, PR
National Provider Identifier
1831158625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 6869
- Practice address
- 3Rd Floor Nicu
Ave Ponce de Leon
Hato Rey, PR 00919 - Phone
- (787) 758-8505
- Fax
- (787) 758-5819
- NPI assigned
- Mar 21, 2006
- Last updated
- Aug 13, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 6869 | PR | Primary |
Addresses
Primary practice location
3Rd Floor Nicu
Ave Ponce de Leon
Hato Rey, PR 00919
Mailing address
PO Box 3916
Guaynabo, PR 00970-3916
Phone (787) 999-0753
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6869 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group | Past | Accepting new patients | |
| Mayaguez Medical Center - San Antonio Inc | Past | Accepting new patients | |
| Puerto Rico Women and Children S Hospital LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Mayaguez Medical Center San Antonio
- General Acute Care Hospital
- Mayaguez, PR
- NPI 1326835703
-
- Pediatric Nephrology Physician
- San Juan, PR
- NPI 1114122900
-
- Children's Hospital
- Bayamon, PR
- NPI 1689148298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1831158625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3916",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009703916",
"telephone_number": "787-999-0753",
"fax_number": "787-999-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3RD FLOOR NICU",
"address_2": "AVE PONCE DE LEON",
"city": "HATO REY",
"state": "PR",
"postal_code": "00919",
"telephone_number": "787-758-8505",
"fax_number": "787-758-5819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCHOA-BACALLAO",
"first_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "PR",
"license": "6869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hato Rey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.