Alexis R. Pagan, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2424 Issued in PR

Practice address

253 Calle San Jorge Ste I-a
San Jorge II Medical Building
San Juan, PR 00912-3307

Phone

(787) 727-3838

Fax

(787) 727-3821

NPI assigned

Feb 13, 2007

Sex

Male

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sjcapagan@yourcarecommunity.org

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

• Abc Pediatric Dental Clinic, PSC

  • Pediatric Dentistry
  • San Juan, PR
  • NPI 1871740308
  NPD (past) Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467594721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 CALLE SAN JORGE STE I-A",
            "address_2": "SAN JORGE II MEDICAL BUILDING",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123307",
            "telephone_number": "787-727-3838",
            "fax_number": "787-727-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 CALLE SAN JORGE STE I-A",
            "address_2": "SAN JORGE II MEDICAL BUILDING",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123307",
            "telephone_number": "787-727-3838",
            "fax_number": "787-727-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "ALEXIS",
        "middle_name": "R.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "2424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Eugenia Pagan Santini, MD
• Ileana Pagan-Medina, PSY.D.
• Myrna M. Pagan-Ortiz, M.D.
• Jaydee Liz Pagan-Pallens, MD
• Vianca Mary Pagan-Rivera, SLP
• Andrea Cristina Pagan
• Angel Gabriel Pagan, M.D.
• Annette L Pagan, MD
• Benjamin Pagan, M.D.
• Christian Pagan, RN

• Pediatric Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatric Dentistry in Puerto Rico

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.