Bryan Leslie Pagan Rivera, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

19262 Issued in PR

Practice address

1050 Ave Los Corazones Ste 2
Mayaguez, PR 00680-7041

Phone

(787) 265-5334

Fax

(787) 833-6640

NPI assigned

Apr 8, 2016

Last updated

Jul 8, 2019By 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 1

Addresses

Other identifiers 1

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

Nephrology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nefrologos Asociados del OesteGroup PAC ID 1951297951, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC San German Dialysis facility, San German, PR, CCN 402506
• Mayaguez Medical Center Dr Ramon Emeterio Betances Hospital, Mayaguez, PR, CCN 400103

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Nefrologos Asociados del Oeste

  • Nephrology Physician
  • Mayaguez, PR
  • NPI 1861596496

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• MMV Internal Medicine P.S.C.

  • Primary Care Clinic/Center
  • San German, PR
  • NPI 1649609470

  Multi-Specialty

  NPD (past)

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

• Mayaguez Medical Center Dr Ramon Emeterio Betances Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1013140383
  Care Compare affiliation

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1760846497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1642",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006831642",
            "telephone_number": "787-379-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 AVE LOS CORAZONES STE 2",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006807041",
            "telephone_number": "787-265-5334",
            "fax_number": "787-833-6640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Calle C Urb Colinas del Rio",
            "address_2": "Carr 329, Km 2.3, Bo Minillas Valle",
            "address_purpose": "LOCATION",
            "city": "San German",
            "state": "PR",
            "postal_code": "006831642",
            "country_code": "US",
            "telephone_number": "787-379-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGAN RIVERA",
        "first_name": "BRYAN",
        "middle_name": "LESLIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "19262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "19262",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sofia Padilla, MD
• Antonio Mariano Padua-Ramos, MD
• Pagan & Pintado Inc (G. M. Health Care del Caribe)
• Kimberly Ann Pagan Marchese, MD
• Pagan Monsegur MD Services PSC
• Jose Luis Pagan Rivera, PSY.D.
• Roberto E Pagan Rivera, DC
• Emilio Pagan Torres, MD
• Fabiola Natalie Pagan-Garcia
• Cristina Pagan-Montalvo, BS, MS, PHARMD

• Nephrology Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Nephrology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.