DR. ROBERTO PACHECO (NPI# 1316019169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316019169 |
| Entity Type | Individual |
| Full Name | DR. ROBERTO PACHECO |
| Credential | D.M.D. |
| Practice Address |
Ave Aguas Buenas Blq.20 #42 Urb. Santa Rosa Bayamon PR 00959-6621 |
| Practice Telephone | 7877863538 |
| Practice Fax Number | 7877863538 |
| Mailing Telephone | 7877863538 |
| Mailing Fax Number | 7877863538 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1202 | PR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | BLUE CROSS | 065896 | 01 |
| PR | TRIPLE S | 41090 | 01 |
| PR | HUMANA | 9600133 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902020977 | Roberto Augusto Pacheco | Dentist | 2323 De La Vina St, Suite # 207, Santa Barbara, CA 93105-3877 | 2007-04-12 |
| Street Address |
AVE AGUAS BUENAS BLQ.20 #42 URB. SANTA ROSA |
| City | BAYAMON |
| State | PR |
| Zip Code | 00959-6621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565134 | Paola B Fernandez Molinary | Student in an Organized Health Care Education/Training Program | Alborada, El Condominio, 1225, Apartment 2232, Bayamon, PR 00959 | 2020-10-15 |
| 1588261150 | Moraima Rivera Rosado | Specialist | C-5 B-11, Urb. Riberas Del Rio, Bayamon, PR 00959 | 2020-10-06 |
| 1902413990 | Lourdes Marie Davila | General Practice | Urb Extension Forest Hills, Calle Uruguay U 684, Bayamon, PR 00959 | 2020-09-24 |
| 1568074367 | Yanira Perez Nieves | Counselor | Bloque 10 Num. 17 Ave. Aguas Buenas, Edificio 1917 Suite 4, Bayamon, PR 00959 | 2020-08-21 |
| 1689290793 | Metro Pavia Healthcare Centers | Clinic/Center | Carr 167 Urb Bella Vista Marginal Ad-10, Bayamon, PR 00959 | 2020-06-24 |
| 1346864055 | Alma Iris Berrios | Pharmacy | Bo. Hato Tejas, Carr.862 K.m. 1.9, Bayamon, PR 00959 | 2020-05-29 |
| 1437779907 | Precise Radiosurgery Solutions Psc | Radiology | Ext Hnas Davila Marginal Carr #2 Esq 3b, Edificio 1955 Suite G1, Bayamon, PR 00959 | 2020-04-24 |
| 1649809260 | Kathy A. Caraballo Rivera,psc | Family Medicine | Bayamon Medical Center, Carr #2 Km 11.7, Bayamon, PR 00959 | 2020-04-06 |
| 1841826617 | Maidalidys Alcocer | Student in an Organized Health Care Education/Training Program | Urb. Santa Rosa Calle 19 21-13, Bayamon, PR 00959 | 2020-03-12 |
| 1245864081 | Raquel Ivelisse Lopez Crespo | Psychologist | Urb Santa Rosa Blq 51 #62, Marginal Carr #2, Bayamon, PR 00959 | 2020-03-02 |
| Find all providers in zip 00959 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750712162 | Third Molar Inc | Dentist | I47 Calle I, Extension Hermanas Davila, Bayamon, PR 00959-5266 | 2013-12-11 |
| 1467450809 | Rafael E Ramirez Diaz | Dentist | 47 Calle 1, Hermanas Davila, Bayamon, PR 00959-8023 | 2005-07-11 |
| 1447477187 | Clinica Las Americas Guaynabo | Dentist | Casa Lina Ave. #1 Suite 101, 177 Route Los Filtros, Bayamon, PR 00969 | 2007-04-20 |
| 1629036744 | Angel M Otero | Dentist | 47 Calle 1, Hermanas Davila, Bayamon, PR 00959-8023 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043855463 | Ar Dental Clinic LLC | Dentist | #17 Calle Daniel Flores, Juncos, PR 00777-3410 | 2019-11-08 |
| 1528618410 | Ashford Oral & Maxillofacial Surgery LLC | Dentist | 29 Calle Washington Ste 502-503, San Juan, PR 00907-1510 | 2019-09-12 |
| 1164814042 | Four Molar Psc | Dentist | 429 Calle Rey Luis, La Villa De Torrimar, Guaynabo, PR 00969-3170 | 2015-03-02 |
| 1154726131 | Rafael Antonio Gavilanes | Dentist | 1005 Ave General Ramey Ste 1, San Antonio, PR 00690 | 2014-11-03 |
| 1528304425 | Jannelly Restituyo Rosario | Dentist | 143-3 Calle 401, Villa Carolina, Carolina, PR 00985-4022 | 2012-12-20 |
| 1477818763 | Patricia Del Pilar Alvarado | Dentist | 143-3 Calle 401 Villa Carolina, Valle Verde Suite 201, Carolina, PR 00985 | 2012-07-12 |
| 1881984920 | Mpl Maxillofacial Surgery, Psc | Dentist | Carr 111 Km 18, Bahomamey, San Sebastian, PR 00685 | 2011-04-11 |
| 1912200908 | Idental Center, Psc | Dentist | A5 Street 1, Urbanizacion Villa Hilda, Yabucoa, PR 00767 | 2010-12-13 |
| 1194025627 | Programa Graduado Cirugia Oral Y Maxilofacial, Upr | Dentist | Centro Medico Rio Piedras, Recinto De Ciencias Medicas, 1er Piso, A 127, San Juan, PR 00936 | 2010-11-01 |
| 1689980682 | Jrc Maxillofacial Services,psc | Dentist | Garrido Morales 53, Fajardo, PR 00738-1087 | 2010-08-27 |
| Find all providers with the same taxonomy | ||||
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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.