Individual provider Active NPI

Antonio M Pavia, M.D.

  • Surgery Physician
  • San Juan, PR
National Provider Identifier
1992781983
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8235 Issued in PR
Practice address
431 Ave Ponce de Leon
National Plaza, Suite 328
San Juan, PR 00917-3418
Phone
(787) 281-3838
Fax
(787) 281-0124
NPI assigned
Dec 21, 2005
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
Surgery Physician 208600000X 8235 PR Primary

Addresses

Primary practice location

431 Ave Ponce de Leon
National Plaza, Suite 328
San Juan, PR 00917-3418

Mailing address

431 Ave Ponce de Leon
National Plaza, Suite 328
San Juan, PR 00917-3418
Phone (787) 281-3838

Other names 1

  • Dr. Antonio M Pavia-Cabanillas Other name

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
I20121018000025 PR Practitioner - General SurgeryPractitioner - Vascular Surgery 2567612047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University Central del Caribe Escuela de Medicina, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Bo Monacillos Centro Medico de Puert
San Juan, PR 00935-0001
Phone (787) 763-2440

Hospital & facility affiliations

  • Asem Hospital, San Juan, PR, CCN 400127
  • Hospital Universitario de Adulto Hospital, Rio Piedras, PR, CCN 400061

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 1984 Accepting new patients
Recinto de Ciencias Medicas Surgery CurrentSince Oct 1, 1984 Accepting new patients
Administracion de Servicios Medicos de Puerto Rico Past Accepting new patients

Locations

BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992781983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 AVE PONCE DE LEON",
            "address_2": "NATIONAL PLAZA, SUITE 328",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173418",
            "telephone_number": "787-281-3838",
            "fax_number": "787-281-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 AVE PONCE DE LEON",
            "address_2": "NATIONAL PLAZA, SUITE 328",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173418",
            "telephone_number": "787-281-3838",
            "fax_number": "787-281-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVIA",
        "first_name": "ANTONIO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "8235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIO",
            "last_name": "PAVIA-CABANILLAS",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.