NPIMap

Organization Active NPI

CDT Dorado Medical Complex, Inc.

  • Emergency Care Clinic/Center
  • Dorado, PR
National Provider Identifier
1386794857
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
CDT DORADO MEDICAL COMPLEX, INC.
Practice address
349 Calle Mendez Vigo
Suite # 10
Dorado, PR 00646-4917
Phone
(787) 278-1576
Fax
(787) 278-0936
NPI assigned
Jan 10, 2007
Last updated
Feb 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Dr. Luis A Pagan, MDNPI 1831155092
Title
Vicepresident
Phone
(787) 278-1576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X NU Primary
Radiology Clinic/Center 261QR0200X 06223 PR
Clinical Medical Laboratory 291U00000X 06223 PR

Addresses

Primary practice location

349 Calle Mendez Vigo
Suite # 10
Dorado, PR 00646-4917

Mailing address

349 Calle Mendez Vigo
Suite #10
Dorado, PR 00646-4917
Phone (787) 278-1576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070607000484 PR Part B Supplier - Clinic/Group Practice 0749388189 Receives reassigned benefits from 1 practitioner
Practice locations: Dorado, PR

National Provider Directory

National Provider Directory
Tax ID family
CDT Dorado Medical Complex Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1386794857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 CALLE MENDEZ VIGO",
            "address_2": "SUITE #10",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464917",
            "telephone_number": "787-278-1576",
            "fax_number": "787-278-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 CALLE MENDEZ VIGO",
            "address_2": "SUITE # 10",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464917",
            "telephone_number": "787-278-1576",
            "fax_number": "787-278-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT DORADO MEDICAL COMPLEX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICEPRESIDENT",
        "authorized_official_telephone_number": "787-278-1576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "06223",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "06223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.