Luis Antonio Pagan, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12215 Issued in PR

Practice address

Calle Mendez Vigo
Pabellon RHC
Dorado, PR 00646-4924

Phone

(787) 387-3333

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

General Practice

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• CDT Dorado Medical Complex, Inc.

  • Emergency Care Clinic/Center
  • Dorado, PR
  • NPI 1386794857
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1831155092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 CALLE MENDEZ VIGO STE 10",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464978",
            "telephone_number": "787-278-1062",
            "fax_number": "787-278-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MENDEZ VIGO",
            "address_2": "PABELLON RHC",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464924",
            "telephone_number": "787-387-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liza Nivia Otero, BS PHARM
• Rafaela Padin
• Noraima Padua Torres, MSW
• Luis Ramon Pagan-Rivera
• Brandon Thomas Pagan, MD
• Belmarie Palen Soberal
• Palliat LLC
• Pediatric Management & Emergency Services
• Pediatric Walk-in Clinic
• Pelet-Giraud & Company, P.S.C Physiatrist

• General Practice Physician in Dorado, PR
• Providers in Dorado, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.