Individual provider Active NPI

Rocio C Mandry-Pagan, M.D.

  • Dermatology Physician
  • Guaynabo, PR
National Provider Identifier
1033277892
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
10,769 Issued in PR
Practice address
107 Gonzalez Giusti Ave.
Caparra Gallery, Suite 309
Guaynabo, PR 00966
Phone
(787) 781-8999
Fax
(787) 792-5925
NPI assigned
Dec 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 10,769 PR Primary

Addresses

Primary practice location

107 Gonzalez Giusti Ave.
Caparra Gallery, Suite 309
Guaynabo, PR 00966

Mailing address

PO Box 360867
San Juan, PR 00936-0867
Phone (787) 781-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110623000689 PR Practitioner - Dermatology 6204014111 Reassigns benefits to 1 organization
Practice locations: Guaynabo, PR
I20180215001368 VA Practitioner - Dermatology 6204014111

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

309 Caparra Gallery
Guaynabo, PR 00966
Phone (787) 781-8999

Caparra Gallery
309 107 Gonzalez Giusti Ave
Guaynabo, PR 00966

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1072
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10,769PRMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tiber Health, Public Benefit Corporation CurrentSince Oct 22, 2025 Accepting new patients
Tiber Health, Public Benefit Corporation CurrentSince Oct 22, 2025 Accepting new patients
Caparra Dermatology Center Dermatology Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033277892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360867",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360867",
            "telephone_number": "787-781-8999",
            "fax_number": "787-792-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GONZALEZ GIUSTI AVE.",
            "address_2": "CAPARRA GALLERY, SUITE 309",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-781-8999",
            "fax_number": "787-792-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDRY-PAGAN",
        "first_name": "ROCIO",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "10,769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.