Individual provider Active NPI

Luis Roberto Berrios Pagan, MD

  • Pediatrics Physician
  • San Juan, PR
National Provider Identifier
1023741014
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4351054790 Issued in MI
Practice address
Hopu Bo Monacillos Carr #22 Centro Medico
San Juan, PR 00935-0001
Phone
(787) 474-0333
NPI assigned
Jul 6, 2022
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4351054790 MI Primary

Addresses

Primary practice location

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

Mailing address

8030 Wadi Apt B-202
White Lake, MI 48386-1374
Phone (787) 598-3326

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://msite.asem.pr.gov/Citrix/ASEMRemoteWeb/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4351054790MIMDPediatrics Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": [],
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.