Jennifer Pagan Bermudez

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Practice address

4960 SW 95TH Ave
Miami, FL 33165-6428

Phone

(786) 346-6539

NPI assigned

Dec 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1265190839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SW 95TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656428",
            "telephone_number": "786-346-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 SW 95TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656428",
            "telephone_number": "786-346-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN BERMUDEZ",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodolfo Antonio Paez
• Valentina Paez
• Yarisleidy Paez
• Yissel Paez
• Pedro A Pagan Banchs, MD
• Shayranisse Pagan Cruz, MD
• Ahtziri Pagan Garcia, MD
• Javier Alejandro Pagan Gutierrez, MD
• Sohemi Pagan Leon, MD
• Amarilis Pagan

• Nursing Home Administrator in Miami, FL
• Providers in Miami, FL by specialty
• Nursing Home Administrator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.