Individual provider Active NPI

Jenaro Pagan Lagomarsini, M.D.

  • General Practice Physician
  • Sabana Grande, PR
National Provider Identifier
1144294778
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10352 Issued in PR
Practice address
Munoz Rivera 40
Sabana Grande, PR 00637-0000
Phone
(787) 804-0010
Fax
(787) 804-0110
NPI assigned
Feb 13, 2006
Last updated
Apr 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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 10352 PR Primary

Addresses

Primary practice location

Munoz Rivera 40
Sabana Grande, PR 00637-0000

Mailing address

PO Box 994
Sabana Grande, PR 00637-0994
Phone (787) 804-0010

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
I20110316000392 PR Practitioner - General Practice 3476735176 Practice locations: Sabana Grande, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10352PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1144294778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006370994",
            "telephone_number": "787-804-0010",
            "fax_number": "787-804-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUNOZ RIVERA 40",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006370000",
            "telephone_number": "787-804-0010",
            "fax_number": "787-804-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN LAGOMARSINI",
        "first_name": "JENARO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

Verify at the official NPI Registry.