Organization Active NPI

Luis R Pagan MD PA

  • Neurological Surgery Physician
  • Hialeah, FL
National Provider Identifier
1033450168
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME0033362 Issued in FL
Legal business name
LUIS R PAGAN MD PA
Practice address
7150 W 20TH Ave Ste 614
Hialeah, FL 33016-5511
Phone
(305) 826-3366
Fax
(305) 826-7973
NPI assigned
Mar 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Dr. Luis R Pagan, M.D.
Title
President
Phone
(305) 826-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X ME0033362 FL Primary

Addresses

Primary practice location

7150 W 20TH Ave Ste 614
Hialeah, FL 33016-5511

Mailing address

7150 W 20TH Ave Ste 614
Hialeah, FL 33016-5511
Phone (305) 826-3366

Other identifiers 1

IdentifierTypeStateIssuer
042852300MedicaidFL

National Provider Directory

National Provider Directory

Locations

7150 W 20th Ave
Ste 614
Hialeah, FL 33016
Phone (305) 826-3366

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1033450168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE STE 614",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165511",
            "telephone_number": "305-826-3366",
            "fax_number": "305-826-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE STE 614",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165511",
            "telephone_number": "305-826-3366",
            "fax_number": "305-826-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS R PAGAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-826-3366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME0033362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042852300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.