Individual provider Active NPI

Ivette Amalia Perez-Pagan, M.D.

  • General Practice Physician
  • Levittown, PR
National Provider Identifier
1649312489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16526 Issued in PR
Practice address
Ea4 Calle Rosa de Tejas
Urb. la Rosaleda
Levittown, PR 00949-4721
Phone
(787) 607-0893
Fax
(787) 720-4412
NPI assigned
Feb 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 16526 PR Primary

Addresses

Primary practice location

Ea4 Calle Rosa de Tejas
Urb. la Rosaleda
Levittown, PR 00949-4721

Mailing address

Ea4 Calle Rosa de Tejas
Urb. la Rosaleda
Levittown, PR 00949-4721
Phone (787) 607-0893

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070228000346 PR Practitioner - General Practice 5193827764 Reassigns benefits to 1 organization
Practice locations: Vieques, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HPM Foundation IncGroup PAC ID 3870629579, 17 clinicians

Practice addresses (Care Compare)

47 Calle Benitez Guzman
Vieques, PR 00765-3029
Phone (787) 268-4171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16526PRMDMental Health Clinic/Center (Including Community Mental Health Center)

Practice roles

OrganizationSpecialtyStatusNew patients
HPM Foundation Inc General Practice Current Accepting new patients
HPM Foundation Inc CurrentSince Mar 24, 2018 Accepting new patients
Municipio de Rio Grande Past Accepting new patients

Locations

2020 Ave Borinquen
Santurce, PR 00915

Interoperability endpoints

  • Direct secure messaging: ivette.perez@hpmpr.eclinicaldirectplus.com

Organizations & group practices 3

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 1

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649312489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EA4 CALLE ROSA DE TEJAS",
            "address_2": "URB. LA ROSALEDA",
            "city": "LEVITTOWN",
            "state": "PR",
            "postal_code": "009494721",
            "telephone_number": "787-607-0893",
            "fax_number": "787-720-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EA4 CALLE ROSA DE TEJAS",
            "address_2": "URB. LA ROSALEDA",
            "city": "LEVITTOWN",
            "state": "PR",
            "postal_code": "009494721",
            "telephone_number": "787-607-0893",
            "fax_number": "787-720-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-PAGAN",
        "first_name": "IVETTE",
        "middle_name": "AMALIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PR

Sources for this page

Verify at the official NPI Registry.