Individual provider Active NPI

Luis Pagan, MD

  • Cardiovascular Disease Physician
  • Cabo Rojo, PR
National Provider Identifier
1962589911
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
9723 Issued in PR
Practice address
66 Calle Salvador Brau
Cabo Rojo, PR 00623-3466
Phone
(787) 254-2095
Fax
(787) 254-2095
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 9723 PR Primary

Addresses

Primary practice location

66 Calle Salvador Brau
Cabo Rojo, PR 00623-3466

Mailing address

PO Box 770
Cabo Rojo, PR 00623-0770
Phone (787) 254-2095

Other names 1

  • Luis Pagan Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070222000122 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5294837209 Practice locations: Aguada, PR; Cabo Rojo, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 A Calle Colon
Aguada, PR 00602-3001
Phone (787) 868-0000

69 Calle Salvador Brau
Cabo Rojo, PR 00623-3410
Phone (787) 254-2095

Hospital & facility affiliations

  • Mayaguez Medical Center Dr Ramon Emeterio Betances Hospital, Mayaguez, PR, CCN 400103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Serv Emerg del Noroeste Past Accepting new patients

Organizations & group practices 1

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 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1962589911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230770",
            "telephone_number": "787-254-2095",
            "fax_number": "787-254-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE SALVADOR BRAU",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233466",
            "telephone_number": "787-254-2095",
            "fax_number": "787-254-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "9723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "PAGAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.