WANDA IVELISSE PACHECO (NPI# 1285852061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285852061 |
| Entity Type | Individual |
| Full Name | WANDA IVELISSE PACHECO |
| Credential | M.D. |
| Practice Address |
Assmca Centro De Detoxificacion Ave.tito Castro Interior Ponce PR 00732-7321 |
| Mailing Address |
Po Box 418 Sabana Grande PR 00637-0418 |
| Practice Telephone | 7878406935 |
| Mailing Telephone | 7878332899 |
| Mailing Fax Number | 7878332899 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 10070 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
ASSMCA CENTRO DE DETOXIFICACION AVE.TITO CASTRO INTERIOR |
| City | PONCE |
| State | PR |
| Zip Code | 00732-7321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837366 | Madeline Nazario | Student in an Organized Health Care Education/Training Program | Ponce School of Medicine and Health Sciences, Urb Industrial Reparada Marginal St Lot 2, Ponce, PR 00732 | 2019-12-03 |
| 1972154615 | Carmen Hernandez | Technician | Brisas Del Caribe, Calle 13 660, Ponce, PR 00732 | 2019-09-24 |
| 1386122471 | Red De Medicos Asociados Del Sur, Inc | Clinic/Center | Centro Coemrcial Glenview Gardens Local 4, Ponce, PR 00732 | 2018-08-01 |
| 1992157119 | Lens Outlet | Clinic/Center | 2421 Calle Costa Coral, Urb. Perla Del Sur, Ponce, PR 00732 | 2016-07-12 |
| 1609116508 | Damar of Puerto Rico Services Inc | Pharmacy | Urb. Industrial Reparada, Lote A-2, Ponce, PR 00732 | 2013-03-01 |
| 1568735645 | Luis Doel Laboy | Licensed Practical Nurse | Ave. Tito Castro, Barrio Machuelo, Ponce, PR 00732 | 2012-02-20 |
| 1588935696 | Valerie Toro | Psychologist | Calle Industrial Reparada, Ponce, PR 00732 | 2012-01-20 |
| 1194009423 | Assmca Ponce | Clinic/Center | Hospital San Lucas Carr 14, Ponce, PR 00732 | 2011-10-05 |
| 1073805578 | Centro Medico Policlinicas De Puerto Rico, Inc. | Health Maintenance Organization | Plazoleta Ponce Cash & Carry, Local # 4, Urb. Morrell Campos, Ponce, PR 00732 | 2011-05-03 |
| 1770872111 | William Rivera | Registered Nurse | Carr. 14 Tito Castro Ave., Ponce, PR 00732 | 2011-04-06 |
| Find all providers in zip 00732 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609718 | Daniel Eduardo Rodriguez Rossello | General Practice | 620 Calle Lady Di Apt 13, Ponce, PR 00716-3547 | 2020-11-06 |
| 1992305197 | Hector Ruben Vazquez-torres | General Practice | Valle Alto Calle Cordillera, 1146, Ponce, PR 00730 | 2020-10-27 |
| 1245847094 | Kevin Alexis Buenahora | General Practice | 1415 Calle Damasco, Urb. San Antonio, Ponce, PR 00728 | 2020-09-25 |
| 1164038162 | Jose A Torres Ramirez | General Practice | Urb. Brisas De Juliana, Calle Jarea 1050, Ponce, PR 00780 | 2020-09-16 |
| 1194330225 | Lilia Marlene Quintero | General Practice | Urb. Santa Teresita #4994 Santa Paula, Ponce, PR 00730 | 2020-09-15 |
| 1275148041 | Amanda Ivette Orta Colon | General Practice | Los Caobos C/guayacan #1691, Ponce, PR 00716 | 2020-09-09 |
| 1134747587 | Angel M Ayala Morales | General Practice | 909 Ave Tito Castro Ste 712, Ponce, PR 00716-4722 | 2020-07-13 |
| 1083240543 | Juan Machado | General Practice | Calle Almendra C22, Jardines De Fagot, Ponce, PR 00716 | 2020-03-17 |
| 1578195566 | Ana Marina Nazario Partida | General Practice | Urb. Camino Del Sur, Gaviota Street # 467, Ponce, PR 00716 | 2020-02-07 |
| 1598303984 | Gilberto Alvarez | General Practice | 2435 Blvd Luis Ferre, Ponce, PR 00717-2112 | 2019-12-16 |
| Find all providers in PONCE | ||||
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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.