Luis Roberto Berrios Pagan, MD

Key facts

NPI

1023741014

Entity type

Individual (NPI type 1)

Primary specialty

Pediatrics Physician 208000000X

License

4351054790 (MI)

Practice address

Hopu Bo Monacillos Carr #22 Centro Medico
San Juan, PR 00935-0001

Phone

(787) 474-0333

NPI assigned

Jul 6, 2022

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Medicine

State licenses

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 18, 2025.

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1023741014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 WADI APT B-202",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483861374",
            "telephone_number": "787-598-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOPU BO MONACILLOS CARR #22 CENTRO MEDICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-474-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS PAGAN",
        "first_name": "LUIS",
        "middle_name": "ROBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4351054790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID DRIVER'S  LICENSE",
            "identifier": "062036950",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://msite.asem.pr.gov/Citrix/ASEMRemoteWeb/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Barrio Monacillos",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009352129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

• Paola Cristina Berrios Jimenez
• Joanmarie Berrios Marrero
• Berrios Medical Services LLC
• Denisha Marie Berrios Miranda, DMD
• Isabel Berrios Ortiz, M. D.
• Karla A. Berrios Sierra, M.D.
• Rafael Andres Berrios Sierra, MD
• Mayra Berrios-Alvarez
• Mayra N. Berrios-Hernandez, PH.D.
• Brigido E Berrios-Pagan, MD

All providers in San Juan, PR · Pediatrics Physician in Puerto Rico