Carlos B Pagan MD

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

0044040 Issued in FL

Legal business name

CARLOS B PAGAN MD

Practice address

3677 W Waters Ave
Tampa, FL 33614-2783

Phone

(813) 933-7805

Fax

(813) 935-3564

NPI assigned

Jan 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Benjamin Pagan, M.D.NPI 1710927736

Title

Physician

Phone

(813) 933-7805

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Benjamin Pagan, M.D.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1710927736
  NPD (past) Authorized official

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1235527706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3677 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142783",
            "telephone_number": "813-933-7805",
            "fax_number": "813-935-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142783",
            "telephone_number": "813-933-7805",
            "fax_number": "813-935-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS B PAGAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-933-7805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "FL",
            "license": "0044040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC&BS",
            "identifier": "00540",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tobias Je Carling, MD, PHD
• Christopher John Carlisle, PA-C
• Kevin K Carlisle, P.A.
• Carlos a, Solorzano
• Carlos Alberto Silva MD PA
• Jetlexis Carlos
• Abby Carlson
• Cristopher Carlson, LMSW
• Emily Carlson, RN, BSN
• Gary Carlson, REGISTERED INTERN

• Exclusive Provider Organization in Tampa, FL
• Providers in Tampa, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.