Dr. Pablo Ivan Almodovar, MD
Dermatology in San Juan, PR. Individual provider (NPI-1).
NPI number1124017488
StatusActive
Last updated in NPPESApr 29, 2008
Details
- NPI
- 1124017488
- Entity type
- Individual (NPI-1)
- Name
- Dr. Pablo Ivan Almodovar
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2005
- Last updated
- Apr 29, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 3519 | PR | Yes |
Practice location
611 Street PaviaSuite 201
San Juan, PR 00909-2242
Phone 787-727-5892 · Fax 787-268-3620
Mailing address
611 Calle PaviaSuite 201
San Juan, PR 00909-2242
Phone 787-727-5892 · Fax 787-268-3620
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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