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MIRIAM T PEREZ PABON DR
NPI 1861581712
General Practice in Catano, PR

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
#8 ISIDRO RODRIGUEZ STREET, CATANO, PR 00962(787) 788-7680(787) 788-7695 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miriam T Perez Pabon Dr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRIAM T PEREZ PABON DR (NPI 1861581712) is an individual general practice provider in Catano, Puerto Rico, licensed in Puerto Rico (10628) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Hima San Pablo Bayamon, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1861581712
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMIRIAM T PEREZ PABONCredential: DR
Location Address#8 ISIDRO RODRIGUEZ STREETCatano, PR 00962
Mailing AddressPo Box 366782San Juan, PR 00936-6782 · (787) 649-3088
Phone(787) 788-7680
Fax(787) 788-7695
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1861581712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 10628
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Other Identifiers 2

Medicare ID-Type Unspecified0083137PR · Medicare Provider #
Medicare UPING01259PR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miriam T Perez Pabon Dr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537299359
PECOS Enrollment IDI20260714004732
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Miriam Perez Pabon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Horizon Health And Management Consulting Group Corp
Health Maintenance Organization
CARR 167 MARGINAL FOREST HILLS, B-8
Bayamon, PR 00959
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 9 clinicians in this Medicare group
NPI 1619504578 (787) 710-8812
Horizon Health Management & Consulting Group Of Florida
General Practice
520 W LAKE MARY BLVD SUITE 214
Sanford, FL 32773
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1447897590 (407) 507-6058

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
66 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hima San Pablo Bayamon

Acute Care Hospitals · Bayamon, PR
1/5 CMS rating
OwnershipProprietary
CMS Certification Number400109
Location70 Calle Santa CruzBayamon, PR 00961 · Bayamon County
Emergency services

Centro Medico Wilma N Vazquez

Acute Care Hospitals · Vega Baja, PR
OwnershipProprietary
CMS Certification Number400115
LocationCarr. 2 Km 39.5 Road Number 2 Bo AlgarroboVega Baja, PR 00693 · Vega Baja County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$71.47 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$29.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miriam Perez Pabon's NPI number?

The NPI number for Miriam Perez Pabon is 1861581712. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Miriam Perez Pabon located?

Miriam Perez Pabon practices at #8 Isidro Rodriguez Street, Catano, PR 00962. The listed phone number is (787) 788-7680.

What is Miriam Perez Pabon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Miriam Perez Pabon enrolled in Medicare?

Yes. Miriam Perez Pabon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Miriam Perez Pabon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Perez Pabon reassigns Medicare benefits to 2 organizations: Horizon Health And Management Consulting Group Corp (Bayamon, PR) and Horizon Health Management & Consulting Group Of Florida (Sanford, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miriam Perez Pabon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miriam Perez Pabon accept?

Health plans from Ambetter Health, Ambetter of Alabama and AmeriHealth Caritas Next list Miriam Perez Pabon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Miriam Perez Pabon affiliated with any hospitals?

According to CMS data, Miriam Perez Pabon is affiliated with Hima San Pablo Bayamon and Centro Medico Wilma N Vazquez.

When was this NPI record last updated?

The NPPES record for Miriam Perez Pabon was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.