NORTH SHORE ORTHOPAEDICS, PSC (NPI# 1801867635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801867635 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE ORTHOPAEDICS, PSC |
| Practice Address |
18 Ave. Severiano Cuevas Hosp. Buen Samaritano Suite 100 Aguadilla PR 00603 |
| Mailing Address |
Po Box 5221 Aguadilla PR 00605-5221 |
| Practice Telephone | 7878825100 |
| Practice Fax Number | 7878825140 |
| Mailing Telephone | 7878825100 |
| Mailing Fax Number | 7878825140 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. IVAN HUMBERTO PACHECO (PRESIDENT) |
| Authorized Official Telephone | 7878825100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
15174 | PR | Allopathic & Osteopathic Physicians |
| X | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
15174 | PR | Allopathic & Osteopathic Physicians |
| X | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
15174 | PR | Allopathic & Osteopathic Physicians |
| X | 207X00000X | Orthopaedic Surgery | 15174 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
18 AVE. SEVERIANO CUEVAS HOSP. BUEN SAMARITANO SUITE 100 |
| City | AGUADILLA |
| State | PR |
| Zip Code | 00603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938593 | Natalia Cordero Lopez | Psychologist | 3 Calle Orquidea, Urb. La Victoria, Aguadilla, PR 00603 | 2020-10-08 |
| 1790390250 | Roberto Martinez Caballero | Physician Assistant | Carr#2 Km 141.1 Ave. Severiano Cuevas Bo Caimital Bajo, Aguadilla, PR 00603 | 2020-09-11 |
| 1427667906 | Northwestern Renal Care Psc | Exclusive Provider Organization | Edificio Western Plaza, Oficina 10, Ave. Severiano Cuevas 18, Carr 460 Km 1.2 Int, Aguadilla, PR 00603 | 2020-07-30 |
| 1457960502 | Tamara Paola Gonzalez Copo | Student in an Organized Health Care Education/Training Program | Bo Maleza Alta Sect Martinica Carr 110 Km32.3, Aguadilla, PR 00603 | 2020-07-24 |
| 1538778824 | Felipe Jose Soto | Student in an Organized Health Care Education/Training Program | Carr. 2 Km 141.1 Ave. Severiano Cuevas 18, Aguadilla, PR 00603 | 2020-07-23 |
| 1699383679 | Grisely Moro Acevedo | General Practice | Carr 110 Km 23.8 Int Reparto Monte Cristo 16, Bo. Ceiba Baja, Aguadilla, PR 00603 | 2020-07-16 |
| 1245857879 | Brunilda Rios | General Acute Care Hospital | Hospital Buen Samaritano Avenida Severiano Cuevas #18 K, Aguadilla, PR 00603 | 2020-06-30 |
| 1699391227 | Diannette Morales-crespo | General Practice | Avenida Severiano Cuevas, 18 Km 141.1 Bo. Caimital Bajo, Aguadilla, PR 00603 | 2020-06-19 |
| 1275158982 | Tamia Marie Lozada Soto | Student in an Organized Health Care Education/Training Program | Ave. Severiano Cuevas #18 Carr #2 Km 141.1, Aguadilla, PR 00603 | 2020-06-09 |
| 1679105902 | Super Heroes 5k Inc | Respite Care | Km 2.1 Road 107, Aguadilla Puerto Rico, Borinquen, Aguadilla, PR 00603 | 2020-02-05 |
| Find all providers in zip 00603 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831678655 | Global Orthopaedics Professional | Orthopaedic Surgery | 7342 Avenida Agustin Ramos Calero, Isabela, PR 00662 | 2018-08-13 |
| 1407217789 | Centro Ortopedico Integrado Csp | Orthopaedic Surgery | 2360 Ave Eduardo Ruberte, Ponce, PR 00717-0304 | 2016-03-14 |
| 1710370630 | Sports Medicine Caguas, LLC. | Orthopaedic Surgery | 201 Gautier Benitez Ave, Consolidated Medical Plaza Ste 305, Caguas, PR 00725 | 2015-03-17 |
| 1942611900 | Centro Ortopedico Especializado | Orthopaedic Surgery | 396 Luis F. Salas Street, Zona Industrial Reparada 2, Ponce, PR 00717 | 2014-05-13 |
| 1083855696 | Jose J Echenique Arana | Orthopaedic Surgery | 735 Ave Ponce De Leon Ste 201, San Juan, PR 00917-5023 | 2009-03-11 |
| 1912041088 | Tort Orthopaedic Institute Psc | Orthopaedic Surgery | Rio Piedras Heights, 1728 Ave Lomas Verdes, San Juan, PR 00926 | 2007-02-20 |
| 1326197401 | Gilberto Jose Alvarado | Orthopaedic Surgery | Calle Ana D Perez, Urb Industrial Reparada II, Ponce, PR 00731 | 2007-01-09 |
| 1245248566 | Manuel A Badillo Collazo | Orthopaedic Surgery | 21 St 3s3, Las Lomas, San Juan, PR 00921 | 2006-08-03 |
| 1902875214 | Mark Emil Trautmann | Orthopaedic Surgery | 373 Ave Domenech, San Juan, PR 00918-3721 | 2006-03-17 |
| 1992772099 | Magdiel Mayol-urdaz | Orthopaedic Surgery | Cepyq-hospital San Francisco, 371 De Diego Ave., San Juan, PR 00923 | 2006-03-07 |
| 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.