Individual provider Active NPI

Anibal Pagan Romero, M.D.

  • General Practice Physician
  • Quebradillas, PR
National Provider Identifier
1508949637
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11789 Issued in PR
Practice address
Carr Num 2 KM 101.6
Bo Terranova Marginal del Parque
Quebradillas, PR 00678-0000
Phone
(787) 895-0914
Fax
(787) 895-6945
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 11789 PR Primary

Addresses

Primary practice location

Carr Num 2 KM 101.6
Bo Terranova Marginal del Parque
Quebradillas, PR 00678-0000

Mailing address

PO Box 1275
Hatillo, PR 00659-1275
Phone (939) 649-1089

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1508949637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1275",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591275",
            "telephone_number": "939-649-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR NUM 2 KM 101.6",
            "address_2": "BO TERRANOVA MARGINAL DEL PARQUE",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780000",
            "telephone_number": "787-895-0914",
            "fax_number": "787-895-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN ROMERO",
        "first_name": "ANIBAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.