Individual provider Active NPI

Wendel Pagan, MD

  • General Practice Physician
  • Cabo Rojo, PR
National Provider Identifier
1649757634
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
021047 Issued in PR
Practice address
I7 Calle Julia de Burgos
Cabo Rojo, PR 00623-3351
Phone
(787) 907-3891
NPI assigned
Jul 23, 2018
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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 021047 PR Primary

Addresses

Primary practice location

I7 Calle Julia de Burgos
Cabo Rojo, PR 00623-3351

Mailing address

63 Calle Virginia
Mayaguez, PR 00680-3820
Phone (787) 907-3891

Other practice location 1

I7 Calle Julia De Burgos
Cabo Rojo, PR 00623-3351
Phone (787) 907-3891

Other identifiers 1

IdentifierTypeStateIssuer
JM264MedicaidPR

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
I20181001000700 PR Practitioner - General Practice 2163773169 Reassigns benefits to 3 organizations
Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

63 Calle Virginia
Mayaguez, PR 00680-3820
Phone (787) 833-0828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021047PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital Inc CurrentSince Jul 1, 2022 Accepting new patients
Bella Vista Hospital, Inc CurrentSince Jul 1, 2022 Accepting new patients
Clinica Yaguez, Inc. CurrentSince Aug 9, 2018 Accepting new patients
Physician Healthcare Administration LLC CurrentSince Mar 20, 2023 Accepting new patients
Clinica Yaguez, Inc CurrentSince Aug 9, 2018 Accepting new patients
Pagan Monsegur MD Services PSC General Practice CurrentSince Sep 23, 2021 Accepting new patients
Integrated Health Management LLC Past Accepting new patients

Locations

117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445

15 Calle Dr Basora N
Mayaguez, PR 00680
Phone (787) 342-6120

H14 Calle 1
Vega Baja, PR 00693
Phone (787) 855-5493

Organizations & group practices 7

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1649757634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 CALLE VIRGINIA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006803820",
            "telephone_number": "787-907-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "I7 CALLE JULIA DE BURGOS",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233351",
            "telephone_number": "787-907-3891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "I7 Calle Julia De Burgos",
            "address_purpose": "LOCATION",
            "city": "Cabo Rojo",
            "state": "PR",
            "postal_code": "006233351",
            "country_code": "US",
            "telephone_number": "787-907-3891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "WENDEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "021047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JM264",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.