Jose Domingo Pagan, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

12860 Issued in PR

Practice address

Urb Atenas Calle Hernandez Carrion Carretara # 2
Interceccion 668 Manati Medical Center First Floor
Manati, PR 00674

Phone

(787) 621-3777

Fax

(787) 621-3776

NPI assigned

Aug 10, 2006

Last updated

Dec 11, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Vascular SurgeryAlso: General Surgery

Education

University Central del Caribe Escuela de Medicina, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Manati Medical Center Dr Otero Lopez Hospital, Manati, PR, CCN 400114

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pagan Cardio Vascular, PSC

  • Vascular Surgery Physician
  • Manati, PR
  • NPI 1356600936
  Authorized official Same address or phone
• Recinto de Ciencias Medicas

  • Surgery Physician
  • Carolina, PR
  • NPI 1952480956
  NPD (past)

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

• Dorado Health Inc

  dba Manati Medical Center

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1376605170
  Care Compare affiliation

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1508877234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20483",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00928",
            "telephone_number": "787-621-3777",
            "fax_number": "787-621-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB ATENAS CALLE HERNANDEZ CARRION CARRETARA # 2",
            "address_2": "INTERCECCION 668 MANATI MEDICAL CENTER FIRST FLOOR",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-3777",
            "fax_number": "787-621-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "JOSE",
        "middle_name": "DOMINGO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "12860",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PR",
            "license": "12860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura P Padilla-Carrasquillo, MD
• Marcos Padilla, DC
• Maylene Karilys Padilla
• Josefina Padro-Ramirez, MD
• Pagan Cardio Vascular, PSC
• Kristian Pamias, MSPT
• Parola Therapy Group, PSC
• Francisco C Parra, MD
• Eduardo Partida Rodriguez
• Eduardo Partida-Robles, M.D.

• 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 Dec 11, 2009; 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.