Virginia Pagan Lopez

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

528 Issued in PR

Practice address

Carr 457 KM 0.2
Aibonito Beltran Ward
San Sebastian, PR 00685

Phone

(787) 560-0507

NPI assigned

Apr 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shapes PR LLC

  • Occupational Therapist
  • San Sebastian, PR
  • NPI 1750914008
  NPD

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1124516984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 17005",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006789822",
            "telephone_number": "787-560-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 457 KM 0.2",
            "address_2": "AIBONITO BELTRAN WARD",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-560-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN LOPEZ",
        "first_name": "VIRGINIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Carmen Ortiz Hernandez
• Aisha Marie Ortiz Jimenez, PHL
• Johnniel Ortiz Mendez, MD
• Vanessa Valles Ortiz, DMD
• Adrian Padua-Hernandez, M.D.
• Stephanie Nicole Pagan
• Elizabeth Marie Palleja, OT
• Miguel Pastrana Laborde, DMD
• Pearle Vision Center of Puerto Rico, Inc
• Maribel Pena-Feliciano, BSN,RN

• Occupational Therapist in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Occupational Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.