Idanis Pantoja

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

4044 Issued in PR

Practice address

6 Calle 4
Vega Baja, PR 00693-4848

Phone

(787) 618-9155

NPI assigned

Oct 29, 2025

Last updated

Oct 30, 2025By 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

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1285502328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CALLE 4",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934848",
            "telephone_number": "787-618-9155",
            "fax_number": "787-618-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CALLE 4",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934848",
            "telephone_number": "787-618-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTOJA",
        "first_name": "IDANIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PR",
            "license": "4044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sullybeth Pabon
• Joann Alyssa Padilla, MD
• Rosa Marie Pagan, PA
• Panriv Medical Services Corp.
• Carlos Josue Pantoja, M.S.
• Jose Pantoja
• Migdalia Pantoja, RPH
• Zulma Janet Pantoja, TO
• Isairi Parrilla Cabrera
• Luis A Paz Reyes, M.D.

• Local Education Agency (LEA) in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Local Education Agency (LEA) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.