Individual provider Active NPI

Edwin E Pagan Lopez, M.D.

  • Occupational Medicine Physician
  • Santurce, PR
National Provider Identifier
1023093523
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
7971 Issued in PR
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

Updated by the provider on Feb 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2-7971OtherPRCIGNA INSURANCE
9270124OtherPRHUMANA HEALTH PLANS
8-0985PAOtherPRTRIPLE S INC (BLUE SHIELD
2-7971OtherPRMCS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080327000231 PR Practitioner - Internal Medicine 1850477167 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D32409MDMDInternal Medicine Physician
7971PRMDInternal Medicine Physician
161645NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HPM Foundation Inc CurrentSince Aug 29, 2017 Accepting new patients
HPM Foundation Inc General Practice Current Accepting new patients

Locations

2020 Ave Borinquen
Santurce, PR 00915

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.