NPIMap

Individual provider Active NPI

Heriberto Pagan Saez, MD

  • Diagnostic Radiology Physician
  • Hato Rey, PR
National Provider Identifier
1780603373
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2352 Issued in PR
Practice address
# 715 Ave. Ponce de Leon Pda. 37 Y 1/2
Hospital Auxilio Mutuo
Hato Rey, PR 00918-4233
Phone
(787) 758-2000
Fax
(787) 294-0527
NPI assigned
Jul 18, 2006
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 2352 PR
Pediatric Radiology Physician 2085P0229X 2352 PR
Diagnostic Radiology Physician 2085R0202X 2352 PR Primary

Addresses

Primary practice location

# 715 Ave. Ponce de Leon Pda. 37 Y 1/2
Hospital Auxilio Mutuo
Hato Rey, PR 00918-4233

Mailing address

Radiologia RCM
PO Box 29134
San Juan, PR 00929-0134
Phone (787) 777-3535

Other practice location 1

Asem Radiologia RCM
Centro Medico de PR, Bo. Monacillos
Rio Piedras, PR 00935
Phone (787) 777-3535

Other identifiers 1

IdentifierTypeStateIssuer
005-3050OtherPRTRIPLE S

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080519000338 PR Practitioner - Diagnostic Radiology 9537238423 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2352PRMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Mar 19, 2021 Accepting new patients
Centro Radiologico Rolon Inc Diagnostic Radiology CurrentSince Nov 8, 2023 Accepting new patients
Oncology & Body Imaging PSC Diagnostic Radiology CurrentSince Jul 23, 2020 Accepting new patients
Recinto de Ciencias Medicas Diagnostic Radiology CurrentSince Mar 19, 2021 Accepting new patients
Administracion de Servicios Medicos de Puerto Rico CurrentSince Mar 4, 2023 Accepting new patients
Instituto Central de Diagnostico Inc Pediatric Radiology Past Accepting new patients
Molecular Imaging PSC Past Accepting new patients
Somascan Plaza Inc Past Accepting new patients
Centro Tomografico de PR Inc Past Accepting new patients

Locations

Asem
San Juan, PR 00935

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1780603373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RADIOLOGIA RCM",
            "address_2": "PO BOX 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-777-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "# 715 AVE. PONCE DE LEON PDA. 37 Y 1/2",
            "address_2": "HOSPITAL AUXILIO MUTUO",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009184233",
            "telephone_number": "787-758-2000",
            "fax_number": "787-294-0527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "ASEM RADIOLOGIA RCM",
            "address_2": "CENTRO MEDICO DE PR, BO. MONACILLOS",
            "address_purpose": "LOCATION",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00935",
            "country_code": "US",
            "telephone_number": "787-777-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGAN SAEZ",
        "first_name": "HERIBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PR",
            "license": "2352",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "PR",
            "license": "2352",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "2352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "005-3050",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.