Active NPI
Eduardo Ibarra, MD
- Pain Medicine (Anesthesiology) Physician
- Aibonito, PR
National Provider Identifier
1871539932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 7701
- Practice address
- 204 Calle Julio Cintron
Suite 224
Aibonito, PR 00705-3311 - Phone
- (787) 735-8900
- Fax
- (787) 735-3040
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 7701 | PR | Primary |
Addresses
Primary practice location
204 Calle Julio Cintron
Suite 224
Aibonito, PR 00705-3311
Mailing address
PO Box 1869
Aibonito, PR 00705-1869
Phone (787) 735-8900
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
204 Calle Julio Cintron
Aibonito, PR 00705-3311
Phone (787) 735-8900
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7701 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Quirurgico de la Montana Inc | Current | Accepting new patients | |
| Clinica de Manejo del Dolor Dr Crawford W Long C S P | Pain Medicine | Current | Accepting new patients |
| Aibonito X Ray Corp | Past | Accepting new patients |
Locations
204 Calle Julio Cintron
Ste 224
Aibonito, PR 00705
Phone (787) 735-8900
174 Calle Luis Barreras S
Cayey, PR 00736
Phone (787) 263-0966
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Cayey, PR
- NPI 1730126970
-
- Pain Medicine (Anesthesiology) Physician
- Aibonito, PR
- NPI 1326086232
-
- Radiology Clinic/Center
- Aibonito, PR
- NPI 1063697415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871539932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1869",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007051869",
"telephone_number": "787-735-8900",
"fax_number": "787-735-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 CALLE JULIO CINTRON",
"address_2": "SUITE 224",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007053311",
"telephone_number": "787-735-8900",
"fax_number": "787-735-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBARRA",
"first_name": "EDUARDO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PR",
"license": "7701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.