Individual provider Active NPI

Pablo E Pons Damiani, MD

  • Pediatrics Physician
  • Lajas, PR
National Provider Identifier
1851336085
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7509 Issued in PR
Practice address
Carr. 116 KM. 0.5
Altos Pharmamax
Lajas, PR 00667
Phone
(939) 214-7032
Fax
(939) 214-7032
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
7509PRMDPediatrics Physician

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301073700 MI
Pediatrics Physician 208000000X 7509 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Carr. 116 KM. 0.5
Altos Pharmamax
Lajas, PR 00667

Mailing address

P.O.Box 538
Lajas, PR 00667-0538
Phone (939) 214-7032

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
4866345MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2011.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1851336085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 538",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006670538",
            "telephone_number": "939-214-7032",
            "fax_number": "939-214-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 116 KM. 0.5",
            "address_2": "ALTOS PHARMAMAX",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "939-214-7032",
            "fax_number": "939-214-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONS DAMIANI",
        "first_name": "PABLO",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301073700",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "7509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4866345",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lajas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.