# NORTH SHORE ORTHOPAEDICS, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801867635
- **Authorized official:** DR. IVAN HUMBERTO PACHECO MD (PRESIDENT)
- **Authorized official phone:** (787) 882-5100

## Contact information

- **Practice address:** 18 AVE. SEVERIANO CUEVAS, HOSP. BUEN SAMARITANO SUITE 100, AGUADILLA, PR 00603
- **Practice address phone:** (787) 882-5100
- **Practice address fax:** (787) 882-5140
- **Mailing address:** PO BOX 5221, AGUADILLA, PR 00605-5221
- **Mailing address phone:** (787) 882-5100
- **Mailing address fax:** (787) 882-5140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 15174 | PR | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | 15174 | PR | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | 15174 | PR | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | 15174 | PR | — |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 09/11/2025