Provider Demographics
NPI:1164670980
Name:PACHECO, MONICA MARIE (MD)
Entity Type:Individual
Prefix:MISS
First Name:MONICA
Middle Name:MARIE
Last Name:PACHECO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:15235 SHADY GROVE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6273
Mailing Address - Country:US
Mailing Address - Phone:301-330-1366
Mailing Address - Fax:301-987-0097
Practice Address - Street 1:200 CALLE HERNANDEZ CARRION STE 301
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-4652
Practice Address - Country:US
Practice Address - Phone:939-440-9200
Practice Address - Fax:301-987-0097
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD68147207W00000X
PR15390207W00000X, 207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology