Organization
NORTH SHORE ORTHOPAEDICS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN HUMBERTO PACHECO MD (PRESIDENT)
(787) 882-5100
Entity
Organization
Contact information
Practice address
18 AVE. SEVERIANO CUEVAS, HOSP. BUEN SAMARITANO SUITE 100, AGUADILLA, PR 00603
(787) 882-5100
(787) 882-5140
Mailing address
PO BOX 5221, AGUADILLA, PR 00605-5221
(787) 882-5100
(787) 882-5140
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15174
PR
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
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