Individual provider Active NPI

Miguel A Pagan, O.D.

  • Optometrist
  • Cidra, PR
National Provider Identifier
1043393549
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2001552 Issued in PR
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070507000375 PR Practitioner - Optometry 8921104019 Practice locations: Caguas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001552PRMDOptometrist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2001552 PR Primary

Addresses

NPPES NPI Registry

Primary 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 Other name

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

Verify at the official NPI Registry.