NPIMap

Individual provider Active NPI

Luis R Vincenty Pagan, MD

  • Internal Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1457467714
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8283 Issued in PR
Practice address
Edif Post Center 60N Ofic 202
Mayaguez, PR 00680
Phone
(787) 805-0744
NPI assigned
Aug 21, 2006
Last updated
May 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8283 PR Primary

Addresses

Primary practice location

Edif Post Center 60N Ofic 202
Mayaguez, PR 00680

Mailing address

PO Box 7169
Mayaguez, PR 00681-7169
Phone (787) 717-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121017000912 PR Practitioner - Internal Medicine 2365692837 Reassigns benefits to 2 organizations
Practice locations: Mayaguez, PR
I20170206001237 WA Practitioner - Internal Medicine 2365692837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Menonita Caguas IncGroup PAC ID 8921254780, 48 clinicians

Practice addresses (Care Compare)

Salida 21 Caguas a Cidra
Urb Turabo Garden
Caguas, PR 00725-0000
Phone (787) 434-1700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8283PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Community Hospital Association CurrentSince Dec 24, 2016 Accepting new patients
Hospital Comunitario Buen Samaritano Inc CurrentSince Jan 3, 2026 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Dec 8, 2024 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Dec 24, 2016 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
SHC Medical Center Toppenish Current Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Dec 8, 2024 Accepting new patients
Metro Mayaguez Inc Past Accepting new patients
Hospital Comunitario Buen Samaritano Inc Past Accepting new patients

Locations

208 N Euclid Rd
Grandview, WA 98930
Phone (509) 882-1855

222 E 2nd St
Grandview, WA 98930
Phone (509) 203-6501

355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366

2705 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 836-4848

2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 865-1520

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1457467714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7169",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006817169",
            "telephone_number": "787-717-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF POST CENTER 60N OFIC 202",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-805-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENTY PAGAN",
        "first_name": "LUIS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-05-09",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.