Individual provider Active NPI

Jose L. Pesante-Pinto, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Bayamon, PR
National Provider Identifier
1831283746
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
6622 Issued in PR
Practice address
100 Ave Laurel
Santa Juanita
Bayamon, PR 00956-4816
Phone
(787) 740-4343
Fax
(787) 740-4343
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 6622 PR Primary

Addresses

Primary practice location

100 Ave Laurel
Santa Juanita
Bayamon, PR 00956-4816

Mailing address

C11 Calle 37
Colinas de Montecarlo
San Juan, PR 00924-5802
Phone (787) 501-2619

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6622PRMDPharmacist
06622PRMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1831283746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C11 CALLE 37",
            "address_2": "COLINAS DE MONTECARLO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009245802",
            "telephone_number": "787-501-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE LAUREL",
            "address_2": "SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564816",
            "telephone_number": "787-740-4343",
            "fax_number": "787-740-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESANTE-PINTO",
        "first_name": "JOSE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "6622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.