DR. PABLO IVAN ALMODOVAR (NPI# 1124017488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124017488 |
| Entity Type | Individual |
| Full Name | DR. PABLO IVAN ALMODOVAR |
| Credential | MD |
| Practice Address |
611 Street Pavia Suite 201 San Juan PR 00909-2242 |
| Mailing Address |
611 Calle Pavia Suite 201 San Juan PR 00909-2242 |
| Practice Telephone | 7877275892 |
| Practice Fax Number | 7872683620 |
| Mailing Telephone | 7877275892 |
| Mailing Fax Number | 7872683620 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2008-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 3519 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | LA CRUZ AZUL DE PR (CA) | 064979 | 01 |
| PR | SSS | 94849 | 01 |
| PR | MEDICARE | 26193 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093079980 | Pablo Edgardo Almodovar | Psychologist | Pop-v Pfizer Tower, 996 San Roberto St, Suite 301, San Juan, PR 00647 | 2012-06-26 |
| Street Address |
611 STREET PAVIA SUITE 201 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00909-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467713 | Stephanie Maldonado | Specialist | Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 | 2020-11-04 |
| 1588262893 | The Auffant Recruitment Group, Inc | Nursing Care | 312 Jose De Diego Avenue, Suite 601, San Juan, PR 00909 | 2020-10-09 |
| 1538766118 | Jose Gilberto Agosto | Pharmacy Technician | 1507 Calle Augusto Rodriguez, San Juan, PR 00909 | 2020-10-06 |
| 1629682125 | Grupo Med | Hospitalist | First Federal Building Suite 302, 1519 Ave Ponce De Leon, San Juan, PR 00909 | 2020-09-02 |
| 1053934992 | Abigail Hernandez | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez Condominio Asia, Suit 600, San Juan, PR 00909 | 2020-05-27 |
| 1477186062 | We Bones | Durable Medical Equipment & Medical Supplies | Ponce De Leon 1612 1er Piso Oficinai/2, San Juan, PR 00909 | 2020-02-21 |
| 1790335602 | Hamid Corp | Pharmacy | 615 Ave. Manuel Pavia, San Juan, PR 00909 | 2019-09-13 |
| 1629625850 | Ian Javier Vazquez | Dietitian, Registered | 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909 | 2019-08-22 |
| 1083277966 | Gerald Manuel Garcia Rivera | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez, Cond. Asia, Suite 600, San Juan, PR 00909 | 2019-04-17 |
| 1659839264 | Carla Ortiz | Naturopath | 1511 Avenida Juan Ponce De Leon, San Juan, PR 00909 | 2019-03-04 |
| Find all providers in zip 00909 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194069336 | Diana Carolina Valentin Colon | Dermatology | Edificio De Decanato De Estudiantes, Oficina 502, Dermatologia, Recinto De Ciencias Medicas, Centro Medic, San Juan, PR 00936 | 2012-11-10 |
| 1922231919 | Elena M Montalvan Miro | Dermatology | San Juan City Hospital, Puerto Rico Medical Center, San Juan, PR 00936-8344 | 2009-08-25 |
| 1013182211 | Luz Magali Pena | Dermatology | 100 Calle Juan Antonio Corretjer, 407, San Juan, PR 00901-2607 | 2008-04-28 |
| 1396935672 | Recinto De Ciencias Medicas | Dermatology | Edif. Principal Rcm 5to Piso Ofic 563, Centro Medico De Puerto Rico Bo. Monacillos, San Juan, PR 00935 | 2007-08-01 |
| 1174657340 | Banucci Institute | Dermatology | 302 Ave. Domenech, San Juan, PR 00918 | 2007-03-16 |
| 1609911213 | David G Latoni Maldonado | Dermatology | 611 Calle Dr Pavia Fernandez Ste 101, San Juan, PR 00909-2240 | 2007-02-21 |
| 1518003276 | Puva-tek | Dermatology | 978 Calle 42 Se, Reparto Metropolitano, San Juan, PR 00921-2701 | 2007-01-29 |
| 1790845402 | Oliva E Benmaman | Dermatology | 525 Roosevelt Ave, La Torre De Plaza Suite 801, San Juan, PR 00918 | 2006-12-11 |
| 1023112141 | Hector M Hernandez Alvarez Sr. | Dermatology | 653 Hipodromo Ave, Suite 202, San Juan, PR 00909 | 2006-09-11 |
| 1053427443 | Gilberto A Solivan Acosta | Dermatology | 440 San Julian, San Juan, PR 00926 | 2006-08-21 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.