Active NPI
Miguel A Pagan, O.D.
- Optometrist
- Cidra, PR
National Provider Identifier
1043393549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2001552
- Practice address
- Ciudad Primavera
1003 Calle Bogota
Cidra, PR 00739-8503 - Phone
- (787) 360-7873
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070507000375 | PR | Practitioner - Optometry | 8921104019 | Practice locations: Caguas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001552 | PR | MD | Optometrist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2001552 | PR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
Ciudad Primavera
1003 Calle Bogota
Cidra, PR 00739-8503
Mailing address
Ciudad Primavera
1003 Calle Bogota
Cidra, PR 00739-8503
Phone (787) 360-7873
Other names 1
NPPES NPI Registry- Miguel A Pagan-Santana
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043393549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CIUDAD PRIMAVERA",
"address_2": "1003 CALLE BOGOTA",
"city": "CIDRA",
"state": "PR",
"postal_code": "007398503",
"telephone_number": "787-360-7873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CIUDAD PRIMAVERA",
"address_2": "1003 CALLE BOGOTA",
"city": "CIDRA",
"state": "PR",
"postal_code": "007398503",
"telephone_number": "787-360-7873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGAN",
"first_name": "MIGUEL",
"middle_name": "A",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "2001552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIGUEL",
"last_name": "PAGAN-SANTANA",
"middle_name": "A",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cidra, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.