Individual provider Active NPI

Carlos Manuel Morales Pagan, MD

  • General Practice Physician
  • Manati, PR
National Provider Identifier
1982600250
Registry record updated Sep 9, 2022
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Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7768 Issued in PR
Practice address
A7 Calle Acosta
Urb Villa Maria
Manati, PR 00674-4933
Phone
(787) 884-5946
Fax
(787) 884-4461
NPI assigned
Jun 22, 2005
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 7768 PR Primary

Addresses

Primary practice location

A7 Calle Acosta
Urb Villa Maria
Manati, PR 00674-4933

Mailing address

PO Box 488
Manati, PR 00674-0488
Phone (787) 884-5946

Other identifiers 1

IdentifierTypeStateIssuer
038442600MedicaidPR

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
I20120215000061 PR Practitioner - General Practice 7113185554 Practice locations: Manati, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7768PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1982600250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740488",
            "telephone_number": "787-884-5946",
            "fax_number": "787-884-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A7 CALLE ACOSTA",
            "address_2": "URB VILLA MARIA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744933",
            "telephone_number": "787-884-5946",
            "fax_number": "787-884-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES PAGAN",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "7768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038442600",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.