Active NPI
Edwin E Pagan Lopez, M.D.
- Occupational Medicine Physician
- Santurce, PR
National Provider Identifier
1023093523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 7971
- Practice address
- 803 Ave Hipodromo
Santurce, PR 00909-2516 - Phone
- (787) 724-3734
- Fax
- (787) 724-1322
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 7971 | PR | |
| Internal Medicine Physician | 207R00000X | D32409 | MD | |
| Occupational Medicine Physician | 2083X0100X | 7971 | PR | Primary |
| General Practice Physician | 208D00000X | 161645 | NY |
Addresses
Primary practice location
803 Ave Hipodromo
Santurce, PR 00909-2516
Mailing address
HC 1 Box 8164
Loiza, PR 00772-9800
Phone (787) 876-0458
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2-7971 | Other | PR | CIGNA INSURANCE |
| 9270124 | Other | PR | HUMANA HEALTH PLANS |
| 8-0985PA | Other | PR | TRIPLE S INC (BLUE SHIELD |
| 2-7971 | Other | PR | MCS CARD SYSTEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D32409 | MD | MD | Internal Medicine Physician |
| 7971 | PR | MD | Internal Medicine Physician |
| 161645 | NY | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HPM Foundation Inc | Current | Accepting new patients | |
| HPM Foundation Inc | General Practice | Current | Accepting new patients |
Locations
2020 Ave Borinquen
Santurce, PR 00915
Interoperability endpoints
- edwin.pagan@hpmpr.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- San Juan, PR
- NPI 1316167661
General Practice
-
- Federally Qualified Health Center (FQHC)
- San Juan, PR
- NPI 1023730504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360281600000",
"number": "1023093523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 8164",
"city": "LOIZA",
"state": "PR",
"postal_code": "007729800",
"telephone_number": "787-876-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 AVE HIPODROMO",
"city": "SANTURCE",
"state": "PR",
"postal_code": "009092516",
"telephone_number": "787-724-3734",
"fax_number": "787-724-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGAN LOPEZ",
"first_name": "EDWIN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2013-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "7971",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D32409",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "PR",
"license": "7971",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "161645",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA INSURANCE",
"identifier": "2-7971",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH PLANS",
"identifier": "9270124",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S INC (BLUE SHIELD",
"identifier": "8-0985PA",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS CARD SYSTEM",
"identifier": "2-7971",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santurce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.