Individual provider Active NPI

John M Pagan Padilla, M.D.

  • Plastic and Reconstructive Surgery Physician
  • San Juan, PR
National Provider Identifier
1265425516
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
11909 Issued in PR
Practice address
525 Ave FD Roosevelt
La Torre de Plaza Suite 902
San Juan, PR 00918-8001
Phone
(787) 281-7120
Fax
(787) 281-7140
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 11909 PR Primary

Addresses

Primary practice location

525 Ave FD Roosevelt
La Torre de Plaza Suite 902
San Juan, PR 00918-8001

Mailing address

525 Ave FD Roosevelt
La Torre de Plaza Suite 902
San Juan, PR 00918-8001
Phone (787) 281-7120

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
I20040202000710 PR Practitioner - Plastic and Reconstructive Surgery 1153224407 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Puerto Rico School of Medicine, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

525 FD Roosevelt Ave
Torre Plaza 902
San Juan, PR 00918-8058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11909PRMDPlastic and Reconstructive Surgery Physician

Interoperability endpoints

  • Direct secure messaging: sjcjpagan@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1265425516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT",
            "address_2": "LA TORRE DE PLAZA SUITE 902",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188001",
            "telephone_number": "787-281-7120",
            "fax_number": "787-281-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT",
            "address_2": "LA TORRE DE PLAZA SUITE 902",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188001",
            "telephone_number": "787-281-7120",
            "fax_number": "787-281-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN PADILLA",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PR",
            "license": "11909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.