Active NPI
Lauren Nicole Rivera Pagan, MD
- Pediatrics Physician
- Longwood, FL
National Provider Identifier
1417411083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME175117
- Practice address
- 550 E Sr 434
Longwood, FL 32750-5222 - Phone
- (407) 261-2917
- Fax
- (407) 262-5718
- NPI assigned
- Jan 28, 2019
- Last updated
- Sep 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME175117 | FL | Primary |
Addresses
Primary practice location
550 E Sr 434
Longwood, FL 32750-5222
Mailing address
550 E Sr 434
Longwood, FL 32750-5222
Phone (407) 261-2917
Other practice location 1
92 W Miller St
Orlando, FL 32806-2036
Phone (407) 649-6876
Other practice location 2
51 Pennsylvania St
Orlando, FL 32806-2937
Phone (321) 843-3220
Other practice location 3
Calle 6 Extension San Agustin
364
San Juan, PR 00926
Phone (787) 374-1792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127411600 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.orlandohealth.com/pediatric-residency | Health Information Exchange (HIE) |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME175117 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Physicians Network Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1417411083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 E SR 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505222",
"telephone_number": "407-261-2917",
"fax_number": "407-262-5718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E SR 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505222",
"telephone_number": "407-261-2917",
"fax_number": "407-262-5718"
}
],
"practiceLocations": [
{
"address_1": "92 W Miller St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062036",
"country_code": "US",
"telephone_number": "407-649-6876",
"fax_number": "407-872-0544",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "51 Pennsylvania St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062937",
"country_code": "US",
"telephone_number": "321-843-3220",
"fax_number": "321-843-3210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Calle 6 Extension San Agustin",
"address_2": "364",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00926",
"country_code": "US",
"telephone_number": "787-374-1792",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA PAGAN",
"first_name": "LAUREN",
"middle_name": "NICOLE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME175117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127411600",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.orlandohealth.com/pediatric-residency",
"affiliation": "N",
"endpointDescription": "Pediatric Residency Program",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "92 W Miller St",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328062036",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.