Active NPI
Pablo E Pons Damiani, MD
- Pediatrics Physician
- Lajas, PR
National Provider Identifier
1851336085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 7509
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7509 | PR | MD | Pediatrics Physician |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301073700 | MI | |
| Pediatrics Physician | 208000000X | 7509 | PR | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4866345 | Medicaid | MI |
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.