Pagan Cardio Vascular, PSC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

12860 Issued in PR

Legal business name

PAGAN CARDIO VASCULAR, PSC

Practice address

Manati Medical Center-Laboratorio Vascular
Urb Atenas Calle Hernandez Carrion Primer Piso
Manati, PR 00674

Phone

(787) 621-3777

Fax

(787) 621-3776

NPI assigned

May 16, 2012

Last updated

Jul 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose Domingo PaganNPI 1508877234

Title

President

Phone

(631) 901-4025

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Domingo Pagan, MD

  • Vascular Surgery Physician
  • Manati, PR
  • NPI 1508877234
  Authorized official Same address or phone

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1356600936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 AVE MCLEARY",
            "address_2": "CHATEAU MCLEARY #13",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111301",
            "telephone_number": "631-901-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANATI MEDICAL CENTER-LABORATORIO VASCULAR",
            "address_2": "URB ATENAS CALLE HERNANDEZ CARRION PRIMER PISO",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-3777",
            "fax_number": "787-621-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGAN CARDIO VASCULAR, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "DOMINGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-901-4025"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "PR",
            "license": "12860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Padilla Rosa
• Laura P Padilla-Carrasquillo, MD
• Marcos Padilla, DC
• Maylene Karilys Padilla
• Josefina Padro-Ramirez, MD
• Jose Domingo Pagan, MD
• Kristian Pamias, MSPT
• Parola Therapy Group, PSC
• Francisco C Parra, MD
• Eduardo Partida Rodriguez

• Vascular Surgery Physician in Manati, PR
• Providers in Manati, PR by specialty
• Vascular Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.