Active NPIIndividual providerSole proprietor

Wanda I Pacheco, MD

General Practice in Ponce, Puerto Rico

NPI Number1285852061
Practice location
Assmca Centro De Detoxificacion, Ave.tito Castro Interior, Ponce, PR 00732-7321
Fax
—
Last updated
July 8, 2007

Wanda Ivelisse Pacheco is a General Practice based in Ponce, PR. Wanda Ivelisse Pacheco practices in Ponce, PR and has the professional credentials of MD. The NPI Number for Wanda Ivelisse Pacheco is 1285852061 and holds a License No. 10070 (PR). The current practice location address for Wanda Ivelisse Pacheco is Assmca Centro De Detoxificacion, Ave.tito Castro Interior, Ponce, PR 00732-7321 and can be reached out via phone at 787-840-6935.

Provider Profile Details

NPI Number
1285852061
Provider Name
Wanda Ivelisse Pacheco
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Assmca Centro De Detoxificacion, Ave.tito Castro Interior, Ponce, PR 00732-7321
Phone Number
787-840-6935
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 24, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Assmca Centro De Detoxificacion
Ave.tito Castro Interior
Ponce, PR 00732-7321
City
Ponce
Zip
00732-7321
Phone Number
787-840-6935
Ponce, PR 00732Get directions →

Provider Business Mailing Address Details

Address
Po Box 418
Sabana Grande, PR 00637-0418
City
Sabana Grande
State
PR
Zip
00637-0418
Phone Number
787-833-2899
Fax Number
787-833-2899

License Information

License Number
10070
License State
PR
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wanda I Pacheco, MD?

The NPI number of Wanda I Pacheco, MD is 1285852061. It was assigned on April 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Wanda I Pacheco, MD?

Wanda I Pacheco, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 10070.

Where does Wanda I Pacheco, MD practice?

The practice location is Assmca Centro De Detoxificacion, Ave.tito Castro Interior, Ponce, PR 00732-7321. The office can be reached at 787-840-6935 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285852061 directly on the NPPES registry website.

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