Daphne Yvette Pagan, MBA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3201 Budinger Ave.
St. Cloud, FL 34769

Phone

(407) 891-3054

Fax

(407) 382-0659

NPI assigned

Mar 13, 2013

Reactivated

Jan 5, 2018

Last updated

Jan 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1114268364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 VISTA GRAND WAY APT. 104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32824",
            "telephone_number": "321-337-2329",
            "fax_number": "407-382-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 BUDINGER AVE.",
            "city": "ST. CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-891-3054",
            "fax_number": "407-382-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "DAPHNE",
        "middle_name": "YVETTE",
        "credential": "MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2018-01-05",
        "deactivation_date": "2017-11-30",
        "reactivation_date": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ismary Padilla Rodriguez
• Ambika Padmakaran
• Jennifer Coromoto Padron Rodriguez
• Jose Uriel Pagan Rodriguez
• Ashley M Pagan, SLP
• Melissa Anne Page Crow
• Alexandra Paguaga, M.S., SLP
• Maria Camila Palacio
• Mercedes Manuela Palacio
• Palm Tree Interventional Pain Management, PLLC

• Case Manager/Care Coordinator in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.