WILMAYRI PAGAN LOPEZ
NPI 1396234142
General Practice in Aguadilla, PR

Active since May 08, 2018PECOS Enrolled
1 AVE KENNEDY, HOSPITAL BUEN SAMARITANO CARR 2 KM, AGUADILLA, PR 00603(787) 819-0800 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 17, 2021, Feb 16, 2021, May 8, 2018 (3 updates tracked since 2018).

About Wilmayri Pagan Lopez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILMAYRI PAGAN LOPEZ (NPI 1396234142) is an individual general practice provider in Aguadilla, Puerto Rico, licensed in Puerto Rico (22097) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1396234142
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameWILMAYRI PAGAN LOPEZ
Location Address1 AVE KENNEDY, HOSPITAL BUEN SAMARITANO CARR 2 KMAguadilla, PR 00603
Mailing AddressHc 3 Box 20755Arecibo, PR 00612-8236 · (939) 439-4524
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 8, 2018
Last NPPES UpdateJune 17, 20213 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1396234142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 22097
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilmayri Pagan Lopez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597160036
PECOS Enrollment IDI20210823001217
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Wilmayri Pagan Lopez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Public Health, Federal
BO. COTTO #77 URBANIZACION FELIX CORDOVA DAVILA
Manati, PR 00674
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 10 clinicians in this Medicare group
General Practice
CARR #2 KM 31 9 BARRIO BAJURA
Vega Alta, PR 00692
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 18 clinicians in this Medicare group
General Practice
1-49 AVE. LUIS MUNOZ MARIN, VILLA DEL REY 2E18
Caguas, PR 00725
  • Reassigned Medicare billing, Puerto Rico enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilmayri Pagan Lopez's NPI number?

The NPI number for Wilmayri Pagan Lopez is 1396234142. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is Wilmayri Pagan Lopez located?

Wilmayri Pagan Lopez practices at 1 Ave Kennedy Hospital Buen Samaritano Carr 2 Km, Aguadilla, PR 00603. The listed phone number is (787) 819-0800.

What is Wilmayri Pagan Lopez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Wilmayri Pagan Lopez enrolled in Medicare?

Yes. Wilmayri Pagan Lopez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Wilmayri Pagan Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilmayri Pagan Lopez reassigns Medicare benefits to 3 organizations: Centro De Medicina Integral De Manati Inc (Manati, PR), Medicos Selectos Del Norte Inc (Vega Alta, PR) and Wilmayri Pagan Lopez LLC (Caguas, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wilmayri Pagan Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wilmayri Pagan Lopez was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.