Active NPI
Antonio M Pavia, M.D.
- Surgery Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 8235
- 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
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 |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|---|
| I20121018000025 | PR | Practitioner - General Surgery | 2567612047 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University Central del Caribe Escuela de Medicina, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Bo Monacillos Centro Medico de Puert
San Juan, PR 00935-0001
Phone (787) 763-2440
Hospital & facility affiliations
- Asem
- Hospital Universitario de Adulto
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Recinto de Ciencias Medicas | Surgery | Current | 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.
-
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
-
- Critical Access Hospital
- San Juan, PR
- NPI 1760455109
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- San Juan, PR
- NPI 1760455109
Hospital
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
- 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.