Jose Antonio Martinez Pagan, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19503 Issued in PR

Practice address

Urb. Monte Verde Calle Monte Dorado GG-10
#3059
Manati, PUERTO RICO 00674
UM

Phone

(787) 923-3305

NPI assigned

Nov 3, 2016

Sex

Male

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

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

Specialty

General Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ma Medical Services PSC

  • General Practice Physician
  • Barceloneta, PR
  • NPI 1689277832
  Medicare reassignment NPD Authorized official
• Atenas Community Health Center Achc Inc

  • Community Health Clinic/Center
  • Manati, PR
  • NPI 1609189919
  Medicare reassignment NPD
• Atenas Community Health Center Achc Inc

  dba Farmacia CDT Manati

  • Pharmacy
  • Manati, PR
  • NPI 1043352438
  NPD

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1174075311",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "URB. MONTE VERDE CALLE MONTE DORADO GG-10",
            "address_2": "#3059",
            "city": "MANATI",
            "state": "PUERTO RICO",
            "postal_code": "00674",
            "telephone_number": "787-923-3305"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "URB. MONTE VERDE CALLE MONTE DORADO GG-10",
            "address_2": "#3059",
            "city": "MANATI",
            "state": "PUERTO RICO",
            "postal_code": "00674",
            "telephone_number": "787-923-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ PAGAN",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.