Active NPI
Rey Yamil Pagan-Rivera, M.D
- Emergency Medicine Physician
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME134981
- Practice address
- 11375 Cortez Blvd
Brooksville, FL 34613-5409 - Phone
- (352) 596-6632
- NPI assigned
- Jul 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 31403-R | PR | |
| Emergency Medicine Physician | 207P00000X | ME134981 | FL | Primary |
Addresses
Primary practice location
11375 Cortez Blvd
Brooksville, FL 34613-5409
Mailing address
RR 4 Box 7597
Cidra, PR 00739-9297
Phone (787) 366-8051
Other practice location 1
917 Ave Tito Castro
Ponce, PR 00716-4717
Phone (787) 844-2080 ext. 1613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2465 N Orange Blossom TRL
Kissimmee, FL 34744-2345
Phone (904) 329-1942
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME134981 | FL | MD | Emergency Medicine Physician |
| 31403-R | PR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgewood Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Ridgewood Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
17430 Bali Blvd
Winter Garden, FL 34787
Phone (863) 419-2496
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Winter Park, FL
- NPI 1629497235
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Davenport, FL
- NPI 1750862694
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1679324842
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Poinciana Hospital
- General Acute Care Hospital
- Kissimmee, FL
- NPI 1912246786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1518374883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 4 BOX 7597",
"city": "CIDRA",
"state": "PR",
"postal_code": "007399297",
"telephone_number": "787-366-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11375 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135409",
"telephone_number": "352-596-6632"
}
],
"practiceLocations": [
{
"address_1": "917 Ave Tito Castro",
"address_purpose": "LOCATION",
"city": "Ponce",
"state": "PR",
"postal_code": "007164717",
"country_code": "US",
"telephone_number": "787-844-2080 x1613",
"fax_number": "787-841-7165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAGAN-RIVERA",
"first_name": "REY",
"middle_name": "YAMIL",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-17",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "31403-R",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME134981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.