Wilmayri Pagan Lopez

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22097 Issued in PR

Practice address

1 Ave Kennedy
Hospital Buen Samaritano Carr 2 KM
Aguadilla, PR 00603

Phone

(787) 819-0800

NPI assigned

May 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Centro de Medicina Integral de Manati, IncGroup PAC ID 2062635980, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centro de Medicina Integral de Manati Inc

  • Federal Public Health Clinic/Center
  • Manati, PR
  • NPI 1720174014
  Medicare reassignment Care Compare group NPD
• Wilmayri Pagan Lopez LLC

  • General Practice Physician
  • Caguas, PR
  • NPI 1467336768
  Medicare reassignment NPD Authorized official
• Medicos Selectos del Norte Inc

  • General Practice Physician
  • Vega Alta, PR
  • NPI 1932327665
  Medicare reassignment NPD

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1396234142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 20755",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006128236",
            "telephone_number": "939-439-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVE KENNEDY",
            "address_2": "HOSPITAL BUEN SAMARITANO CARR 2 KM",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-819-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN LOPEZ",
        "first_name": "WILMAYRI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo a Gomez Cortes (Medstar EMS)
• Pablo a. Gomez (Medstar E.M.S.)
• Caleb S Pacheco Molina, MD
• Isis Padilla
• Albertino Padin -Gomez, MD
• Carmen Pagan
• Liza Mariel Paulo Malave, MD
• Carlos Ronald Pedraza Gonzalez, MD
• Maheliz Pellot-Fuentes
• Daisy Pellot-Rodriguez, PSY D.

• General Practice Physician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.