Miriam Yazmin Pagan Rivera, LND

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1503 Issued in PR

Practice address

Ponce Health Sciences University
Industrial Reparada Calle 10 G 6
Ponce, PR 00716

Phone

(787) 204-0724

NPI assigned

Jun 12, 2009

Last updated

Mar 12, 2023By the provider in NPPES

Sex

Female

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

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Tiber Health, Public Benefit Corporation

  dba Ponce Health Sciences University

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1184139602

  Nutritionist

  Medicare reassignment NPD
• Tiber Health, Public Benefit Corporation

  dba Ponce Health Sciences University

  • Clinic/Center
  • Ponce, PR
  • NPI 1467180851
  NPD
• Arist Medical Sciences University, Public Benefit Corporation

  dba Ponce Health Sciences University

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1396147724
  NPD (past)

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678579200000",
    "number": "1891922241",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "URB.EXT. JARDINES DE COAMO CALLE -10 G-6",
            "city": "COAMO",
            "state": "P.R.",
            "postal_code": "00769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PONCE HEALTH SCIENCES UNIVERSITY",
            "address_2": "INDUSTRIAL REPARADA CALLE 10 G 6",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-204-0724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "EDIFICIO MICHELLE PLAZA",
            "address_2": "OFIC 105 CALLE ACACIA 500",
            "address_purpose": "LOCATION",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "country_code": "US",
            "telephone_number": "787-512-2646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGAN RIVERA",
        "first_name": "MIRIAM",
        "middle_name": "YAZMIN",
        "name_prefix": "Miss",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4119508",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Oscar Pagan Castaner
• Moraima Pagan la Torre, M.D.
• Giselle Marie Pagan Marrero, MD
• Axel Manuel Pagan Nieves
• Ariana Mariel Pagan Perez
• Pedro Juan Pagan Rivera, MD
• Astrid Pagan Salles, DMD
• Adrian Jose Pagan Sanchez, MD
• Karla Marie Pagan Santiago, MD
• Rita Maria Pagan Silva, O.D.

• Nutritionist in Ponce, PR
• Providers in Ponce, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.