Individual provider Active NPI

Ivan Eduardo Pagan Colon, MD

  • Psychiatry Physician
  • Aventura, FL
National Provider Identifier
1033772165
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD210011757 Issued in DC
Practice address
20900 Biscayne Blvd
Aventura, FL 33180-1495
Phone
(305) 682-7000
NPI assigned
Apr 15, 2019
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD210011757 DC Primary

Addresses

Primary practice location

20900 Biscayne Blvd
Aventura, FL 33180-1495

Mailing address

Cond Playa Dorada TH5
7045 Carr 187
Carolina, PR 00979-7068
Phone (787) 450-6824

Other practice location 1

7041 Carr 187
Carolina, PR 00979-7069
Phone (787) 450-6824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20260622003914 NY Practitioner - Psychiatry 2264905223 Reassigns benefits to 1 organization
I20260623000612 CT Practitioner - Psychiatry 2264905223 Reassigns benefits to 1 organization
I20260626001104 DC Practitioner - Psychiatry 2264905223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
New York, NY 10087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD210011757DCMDPsychiatry Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1033772165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND PLAYA DORADA TH5",
            "address_2": "7045 CARR 187",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009797068",
            "telephone_number": "787-450-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20900 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801495",
            "telephone_number": "305-682-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7041 Carr 187",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "009797069",
            "country_code": "US",
            "telephone_number": "787-450-6824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGAN COLON",
        "first_name": "IVAN",
        "middle_name": "EDUARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD210011757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.