Active NPI
Carol Denice Cruz Pagan, MS
- Audiologist
- Manati, PR
National Provider Identifier
1306901905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 582
- Practice address
- Carr #2 Edif Las Vegas #420 Bo Campo Alegre
Manati, PR 00674-1086 - Phone
- (787) 854-7060
- Fax
- (787) 854-7021
- NPI assigned
- Dec 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 582 | PR | Primary |
Addresses
Primary practice location
Carr #2 Edif Las Vegas #420 Bo Campo Alegre
Manati, PR 00674-1086
Mailing address
HC 03 Box 20755
Arecibo, PR 00612
Phone (787) 222-6287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- At Still University, Arizona School of Dentistry & Oral HLTH, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Calle Garcia de la Naceda a
6 Villas de Rio Grande
Rio Grande, PR 00745
Phone (787) 809-4322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Hearing Center Inc | Audiologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist
- San Juan, PR
- NPI 1972502276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306901905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 03 BOX 20755",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-222-6287",
"fax_number": "787-854-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR #2 EDIF LAS VEGAS #420 BO CAMPO ALEGRE",
"city": "MANATI",
"state": "PR",
"postal_code": "006741086",
"telephone_number": "787-854-7060",
"fax_number": "787-854-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ PAGAN",
"first_name": "CAROL",
"middle_name": "DENICE",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PR",
"license": "582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.