Individual provider Active NPI

Joseveth Pabon I

  • Registered Nurse
  • Vega Alta, PR
National Provider Identifier
1851705313
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
14613 A Issued in PR
Practice address
Carr 647 Street Rosa
HC 91 Box 9059
Vega Alta, PR 00692-0031
Phone
(787) 205-3096
Fax
(787) 883-5465
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 14613 A PR Primary

Addresses

Primary practice location

Carr 647 Street Rosa
HC 91 Box 9059
Vega Alta, PR 00692-0031

Mailing address

HC 91 Box 9059
Bo. Candelaria Carr-647 KM-6 HC-7 Calle Rosa Sec. Ramos
Vega Alta, PR 00692-0031
Phone (787) 205-3096

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

State licenses

LicenseStateTypeSpecialty
14613 APRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1851705313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 91 BOX 9059",
            "address_2": "BO. CANDELARIA CARR-647 KM-6 HC-7 CALLE ROSA SEC. RAMOS",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006920031",
            "telephone_number": "787-205-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 647 STREET ROSA",
            "address_2": "HC 91 BOX 9059",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006920031",
            "telephone_number": "787-205-3096",
            "fax_number": "787-883-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABON",
        "first_name": "JOSEVETH",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "14613 A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.