Individual provider Active NPI

Edgardo Quintana- Pagan, MD

  • Anesthesiology Physician
  • Caguas, PR
National Provider Identifier
1245434679
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
16273 Issued in PR
Practice address
200 Ave Rafael Cordero
Suite 140 PMB 509
Caguas, PR 00725-3740
Phone
(787) 432-6583
NPI assigned
Jun 11, 2007
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 237441 NY
General Practice Physician 208D00000X 237441 NY
General Practice Physician 208D00000X 16273 PR
Anesthesiology Physician 207L00000X 16273 PR Primary

Addresses

Primary practice location

200 Ave Rafael Cordero
Suite 140 PMB 509
Caguas, PR 00725-3740

Mailing address

20 Ave LMM Ste 1
Villa Blanca PMB 509
Caguas, PR 00725-3740
Phone (787) 432-6583

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
I20170227002493 PR Practitioner - Anesthesiology 7416231022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Ponce School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mennonite General Hospital IncGroup PAC ID 6709843964, 47 clinicians
Hospital Menonita de CayeyGroup PAC ID 2466449657, 57 clinicians

Practice addresses (Care Compare)

Calle Jose C Vazquez
Barrio Caonillas
Aibonito, PR 00705-1379
Phone (787) 434-1700

Carretera 14 Interior
Bo Rincon
Cayey, PR 00737-2800
Phone (787) 434-1700

PO Box
Suite 372800
Cayey, PR 00737-2800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237441NYMDGeneral Practice Physician
16273PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc CurrentSince Sep 9, 2018 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Sep 9, 2018 Accepting new patients
Hospital Menonita de Cayey Anesthesiology CurrentSince Jan 30, 2025 Accepting new patients
Hospital Menonita de Cayey Current Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1245434679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 AVE LMM STE 1",
            "address_2": "VILLA BLANCA PMB 509",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253740",
            "telephone_number": "787-432-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE RAFAEL CORDERO",
            "address_2": "SUITE 140 PMB 509",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253740",
            "telephone_number": "787-432-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA- PAGAN",
        "first_name": "EDGARDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "237441",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "237441",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16273",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "16273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.