Individual provider Active NPI

Moraima Pagan la Torre, M.D.

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1063663706
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
017362 Issued in PR
Practice address
37 Calle Concordia P1
Ponce, PR 00730-5832
Phone
(787) 223-6537
NPI assigned
Sep 30, 2008
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 017362 PR Primary

Addresses

Primary practice location

37 Calle Concordia P1
Ponce, PR 00730-5832

Mailing address

Urb Hacienda Isabel
120 Calle Pales
Santa Isabel, PR 00757-3005
Phone (787) 223-6537

Other identifiers 1

IdentifierTypeStateIssuer
017362OtherPRMEDICAL LICENSE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110628000411 PR Practitioner - General Practice 7012195787 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Group, C.S.P. CurrentSince Aug 7, 2018 Accepting new patients
Primary Medical Group,C.S.P. General Practice CurrentSince Aug 7, 2018 Accepting new patients
Primary Medical Center Inc General Practice CurrentSince Aug 7, 2018 Accepting new patients
Primary Medical Center, Inc CurrentSince Aug 7, 2018 Accepting new patients
Moraima Pagan LLC General Practice Past Accepting new patients

Locations

607 Calle Ferrocarril
Ponce, PR 00717
Phone (787) 259-7219

Organizations & group practices 5

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": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1063663706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB HACIENDA ISABEL",
            "address_2": "120 CALLE PALES",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007573005",
            "telephone_number": "787-223-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CALLE CONCORDIA P1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007305832",
            "telephone_number": "787-223-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN LA TORRE",
        "first_name": "MORAIMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "017362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "017362",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.