Individual provider Active NPI

Eduardo Ibarra, MD

  • Pain Medicine (Anesthesiology) Physician
  • Aibonito, PR
National Provider Identifier
1871539932
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
7701 Issued in PR
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000069 PR Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 9931175569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Critical Care (Intensivists)
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

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7701PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Quirurgico de la Montana Inc CurrentSince Apr 27, 2006 Accepting new patients
Clinica de Manejo del Dolor Dr Crawford W Long C S P Pain Medicine CurrentSince May 10, 2004 Accepting new patients
Aibonito X Ray Corp PastSince Jul 5, 2008 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.

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

Verify at the official NPI Registry.