Active NPI
Luis R Pagan MD PA
- Neurological Surgery Physician
- Hialeah, FL
National Provider Identifier
1033450168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME0033362
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042852300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.