MEDICARE: CARLOS JAVIER PAGAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	17-541-I	PR

General Provider Information

NPI Number	:	1306789219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS JAVIER PAGAN MD

Provider Business Mailing Address
First Line	:	URB PUERTO NUEVO CALLE CAMPINA 1212
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00920
Country	:	US
Telephone Number	:	939-940-3542
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 AVE LAUREL
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00956-4816
Country	:	US
Telephone Number	:	787-787-5151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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