1508844192 NPI number — DR. NORBERTO PELLOT M.D

Table of content: DR. NORBERTO PELLOT M.D (NPI 1508844192)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508844192 NPI number — DR. NORBERTO PELLOT M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PELLOT
Provider First Name:
NORBERTO
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PELLOT
Provider Other First Name:
NORBERTO
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1508844192
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/17/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
METRO MEDICAL CENTER 1995
Provider Second Line Business Mailing Address:
CARRETERA #2 SUITE 310-A
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00959-1310
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-740-8090
Provider Business Mailing Address Fax Number:
787-786-5216

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
METROMEDICAL # 1995
Provider Second Line Business Practice Location Address:
CARRETERA #2 SUITE 310-A
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00959-1310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-740-8090
Provider Business Practice Location Address Fax Number:
787-786-5216
Provider Enumeration Date:
01/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  6308 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1508844192 . This is a "PSIQUIATRA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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