Individual provider Active NPI

Pedro Dionisio Castilloveitia, M.D.

  • General Practice Physician
  • Moca, PR
National Provider Identifier
1962404749
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10728 Issued in PR
Practice address
Calle Barbosa Numero 325
Moca, PR 00676-4104
Phone
(787) 818-5593
Fax
(787) 818-5594
NPI assigned
Aug 11, 2005
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10728 PR Primary

Addresses

Primary practice location

Calle Barbosa Numero 325
Moca, PR 00676-4104

Mailing address

181 Ruta 474
Barrio Galateo Bajo
Isabela, PR 00662-3948
Phone (787) 818-5593

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
I20100827000269 PR Practitioner - General Practice 2466576467 Practice locations: Isabela, PR; Moca, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Barbosa
Suite 325
Moca, PR 00676
Phone (787) 818-5593

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1962404749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 RUTA 474",
            "address_2": "BARRIO GALATEO BAJO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623948",
            "telephone_number": "787-818-5593",
            "fax_number": "787-818-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BARBOSA NUMERO 325",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764104",
            "telephone_number": "787-818-5593",
            "fax_number": "787-818-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLOVEITIA",
        "first_name": "PEDRO",
        "middle_name": "DIONISIO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.