Individual provider Active NPI

Lenny G Pagan Rodriguez, MD

  • Obstetrics & Gynecology Physician
  • Penuelas, PR
National Provider Identifier
1255599122
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
18061 Issued in PR
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
18061PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto de Ginecologia Y Obstetricia del Sur Obstetrics & Gynecology Past Accepting new patients
South Prime OB-GYN LLC PastSince Aug 18, 2019 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.

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

Verify at the official NPI Registry.