Individual provider Active NPI

Ricardo Gago Pinero, MD

  • Rheumatology Physician
  • San Juan, PR
National Provider Identifier
1851555023
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
18159 Issued in PR
Practice address
867 Avenida Munoz Rivera Suite a-101
Vick Center
San Juan, PR 00925
Phone
(787) 505-1222
NPI assigned
Jul 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 28041R PR
Internal Medicine Physician 207R00000X 018159 PR
Rheumatology Physician 207RR0500X 18159 PR Primary

Addresses

Primary practice location

867 Avenida Munoz Rivera Suite a-101
Vick Center
San Juan, PR 00925

Mailing address

10 Calle Hollywod Dr
San Juan, PR 00926-8326
Phone (787) 505-1222

Other names 1

  • Ricardo Gago Pinero Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120625000312 PR Practitioner - RheumatologyPractitioner - Internal Medicine 7113182197 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

867 Ave Munoz Rivera
San Juan, PR 00925-2102
Phone (787) 505-1222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018159PRMDInternal Medicine Physician
28041RPRMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: ricardo.gagopinero.p1@direct.vitacare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1851555023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE HOLLYWOD DR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009268326",
            "telephone_number": "787-505-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 AVENIDA MUNOZ RIVERA SUITE A-101",
            "address_2": "VICK CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-505-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGO PINERO",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "28041R",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "018159",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "18159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICARDO",
            "last_name": "GAGO PINERO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.