Individual provider Active NPI

Guillermo A Pagan Calo, M.D.

  • General Practice Physician
  • Hormigueros, PR
National Provider Identifier
1891821815
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14386 Issued in PR
Practice address
Plaza Constancia Segundo Piso
Hormigueros, PR 00660
Phone
(787) 849-3845
Fax
(787) 849-3845
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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 14386 PR Primary

Addresses

Primary practice location

Plaza Constancia Segundo Piso
Hormigueros, PR 00660

Mailing address

PMB 154 PO Box 5103
Cabo Rojo, PR 00623
Phone (787) 384-6716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050201000398 PR Practitioner - General PracticePractitioner - Preventive Medicine 6305897901 Reassigns benefits to 1 organization
Practice locations: Hormigueros, PR
I20150515001240 FL Practitioner - General Practice 6305897901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Preventive Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Constacia Plaza
Hormigueros, PR 00660

Constancia Plaza
103B Carr 2 KM 166.4 Bo Lavadero
Hormigueros, PR 00660
Phone (787) 849-3845

Hospital & facility affiliations

  • Hospicio la Monserrate Hospice, Sabana Grande, PR, CCN 401573
  • Bella Vista Hospital Hospital, Mayaguez, PR, CCN 400014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue334
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital Inc CurrentSince Dec 26, 2018 Accepting new patients
Bella Vista Hospital, Inc CurrentSince Dec 26, 2018 Accepting new patients
Cindy L Martinez Torres MD PA PLLC General Practice CurrentSince May 4, 2021 Accepting new patients
Laboratorio Clinico Constancia Inc PastSince Jan 1, 2010 Accepting new patients

Locations

1281 NW 6th St
Miami, FL 33125
Phone (305) 326-6766

351 NW Le Jeune Rd
Ste 407
Miami, FL 33126
Phone (305) 326-6766

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1891821815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 154 PO BOX 5103",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-384-6716",
            "fax_number": "787-849-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA CONSTANCIA SEGUNDO PISO",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "787-849-3845",
            "fax_number": "787-849-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN CALO",
        "first_name": "GUILLERMO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hormigueros, PR

Sources for this page

Verify at the official NPI Registry.