Individual provider · Type 1 NPI
Kevin Pacheco, DO
General Practice Physician · San Pedro, CR
NPI number
1881980704
Active
Practice location
Edificio Adriatico, Boulevard Dent
San Pedro, CR 11501
Mailing address
2505 Oakwood Dr
Grand Prairie, TX 75050-1725
Other practice locations
- 2505 Oakwood Dr, Grand Prairie, TX 75050-1725 · (214) 400-7527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | 13342 (CA) |
| General Practice Physician | 208D00000X | 275486 (NY) |
| General Practice Physician Primary | 208D00000X | T7323 (TX) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1881980704
Kevin Pacheco, DO's National Provider Identifier is 1881980704, issued on Jun 20, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Pedro, CR. The record was last updated on Feb 4, 2025.