Individual ProviderThais Baretty PaganGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address101 Calle Mendez Vigo W Ste 701, Mayaguez, PR 00680-3889(787) 834-6056PECOS EnrollmentBased on the most recent information from CMS, provider Thais Baretty Pagan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1790493807Provider TypeIndividualFull NameBaretty Pagan, ThaisTitleDr.CredentialMDGenderFemaleSole ProprietorYesEnumeration Date11/8/2022Last Updated11/8/2022Contact InformationPractice LocationPractice Address101 Calle Mendez Vigo W Ste 701, Mayaguez, PR 00680-3889Phone(787) 834-6056FaxUnlisted FaxMailing LocationMailing Address101 Calle Mendez Vigo W Ste 701, Mayaguez, PR 00680-3889Phone(787) 834-6056FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense23060Puerto Rico