Individual provider Active NPI

Jorge G Pagan-Lugo

  • Dentist
  • San German, PR
National Provider Identifier
1265493480
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
383 Issued in PR
Practice address
36 Calle Ruiz Belvis
San German, PR 00683-4009
Phone
(787) 892-1029
Fax
(787) 892-1029
NPI assigned
Mar 29, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 383 PR Primary

Addresses

Primary practice location

36 Calle Ruiz Belvis
San German, PR 00683-4009

Mailing address

PO Box 753
San German, PR 00683-0753
Phone (787) 892-1029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
383PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265493480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 753",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830753",
            "telephone_number": "787-892-1029",
            "fax_number": "787-892-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CALLE RUIZ BELVIS",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834009",
            "telephone_number": "787-892-1029",
            "fax_number": "787-892-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN-LUGO",
        "first_name": "JORGE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.