Active NPI
Lenny G Pagan Rodriguez, MD
- Obstetrics & Gynecology Physician
- Penuelas, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 18061
- Practice address
- 628 Calle Pedro Velazquez
Edificio Aurora A2 A3
Penuelas, PR 00624 - Phone
- (787) 836-2214
- Fax
- (787) 841-6022
- NPI assigned
- May 28, 2008
- Last updated
- May 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 18061 | PR | Primary |
Addresses
Primary practice location
628 Calle Pedro Velazquez
Edificio Aurora A2 A3
Penuelas, PR 00624
Mailing address
PO Box 7245
Ponce, PR 00732-7245
Phone (787) 633-9260
Other practice location 1
917 Ave Tito Castro
Hospital Episcopal San Lucas
Ponce, PR 00716-4717
Phone (787) 844-2080 ext. 1357
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140324000051 | PR | Practitioner - Obstetrics/Gynecology | 4981835600 | Practice locations: Peuelas, PR; Ponce, PR; Santa Isabel, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1124 Ave Munoz Rivera
Ponce, PR 00717-0643
Phone (787) 841-2314
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18061 | PR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Instituto de Ginecologia Y Obstetricia del Sur | Obstetrics & Gynecology | Past | Accepting new patients |
| South Prime OB-GYN LLC | Past | Accepting new patients | |
| Saint Lukes Memorial Hospital Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Penuelas, PR
- NPI 1568853687
-
dba Hospital San Lucas
- General Acute Care Hospital
- Ponce, PR
- NPI 1841295557
-
- Obstetrics Physician
- Ponce, PR
- NPI 1023664042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1255599122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7245",
"city": "PONCE",
"state": "PR",
"postal_code": "007327245",
"telephone_number": "787-633-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 CALLE PEDRO VELAZQUEZ",
"address_2": "EDIFICIO AURORA A2 A3",
"city": "PENUELAS",
"state": "PR",
"postal_code": "00624",
"telephone_number": "787-836-2214",
"fax_number": "787-841-6022"
}
],
"practiceLocations": [
{
"address_1": "917 Ave Tito Castro",
"address_2": "HOSPITAL EPISCOPAL SAN LUCAS",
"address_purpose": "LOCATION",
"city": "Ponce",
"state": "PR",
"postal_code": "007164717",
"country_code": "US",
"telephone_number": "787-844-2080 x1357",
"fax_number": "787-844-1533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAGAN RODRIGUEZ",
"first_name": "LENNY",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-28",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PR",
"license": "18061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Penuelas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.