| Wilmayri Pagan Lopez LLC | |
|
1-49 Ave. Luis Munoz Marin Villa Del Rey 2e18 Caguas PR 00725-2000 | |
| (939) 439-4524 | |
| Not Available |
| Full Name | Wilmayri Pagan Lopez LLC |
|---|---|
| Speciality | General Practice |
| Location | 1-49 Ave. Luis Munoz Marin, Caguas, Puerto Rico |
| Authorized Official Name and Position | Wilmayri Pagan Lopez (GENERAL MEDICINE) |
| Authorized Official Contact | 9394394524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilmayri Pagan Lopez LLC Po Box 6356 Caguas PR 00726-6356 Ph: (939) 439-4524 | Wilmayri Pagan Lopez LLC 1-49 Ave. Luis Munoz Marin Villa Del Rey 2e18 Caguas PR 00725-2000 Ph: (939) 439-4524 |
| NPI Number | 1467336768 |
|---|---|
| Provider Enumeration Date | 08/01/2025 |
| Last Update Date | 09/22/2025 |
| Certification Date | 09/22/2025 |
| Medicare PECOS PAC ID | 8729564976 |
|---|---|
| Medicare Enrollment ID | O20260108000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467336768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Wilmayri Pagan Lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396234142 PECOS PAC ID: 5597160036 Enrollment ID: I20210823001217 |
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