Active NPI
Sixto A Pacheco, M.D.
- General Practice Physician
- Aibonito, PR
National Provider Identifier
1912974403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 12032
- Practice address
- 51 Calle Geronimo Martinez
Aibonito, PR 00705-3661 - Phone
- (787) 735-7215
- Fax
- (787) 735-1804
- NPI assigned
- Mar 2, 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 12032 | PR | Primary |
Addresses
Primary practice location
51 Calle Geronimo Martinez
Aibonito, PR 00705-3661
Mailing address
PO Box 413
Aibonito, PR 00705-0413
Phone (787) 735-7215
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130419000461 | PR | Practitioner - General Practice | 3870739782 | Practice locations: Aibonito, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
51 Calle Geronimo Martinez
Aibonito, PR 00705-3661
Phone (787) 735-7215
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Puma | Current | Accepting new patients |
Locations
51 Calle Geronimo Martinez
Aibonito, PR 00705
Phone (787) 735-7215
Organizations & group practices 1
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.
-
- Specialist
- Aibonito, PR
- NPI 1922075688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1912974403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 413",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007050413",
"telephone_number": "787-735-7215",
"fax_number": "787-735-1804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 CALLE GERONIMO MARTINEZ",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007053661",
"telephone_number": "787-735-7215",
"fax_number": "787-735-1804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "SIXTO",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "12032",
"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 Apr 21, 2022; 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.