Individual provider Active NPI

Joakyna De Santiago Pagan, M.D.

  • Emergency Medicine Physician
  • Carolina, PR
National Provider Identifier
1679860118
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18682 Issued in PR
Practice address
Ave 65 Infanteria Upr Hospital Carr 3 KM 8.3
Department of Emergency Medicine 1St Floor
Carolina, PR 00985
Phone
(787) 757-1800
NPI assigned
Jul 5, 2011
Last updated
Apr 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 18682 PR Primary

Addresses

Primary practice location

Ave 65 Infanteria Upr Hospital Carr 3 KM 8.3
Department of Emergency Medicine 1St Floor
Carolina, PR 00985

Mailing address

PO Box 29207
Dept Medicina de Emergencias
San Juan, PR 00929-0207
Phone (787) 757-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140912000139 PR Practitioner - Emergency Medicine 5092934745 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Jul 19, 2014 Accepting new patients
Recinto de Ciencias Medicas Emergency Medicine CurrentSince Jul 19, 2014 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1679860118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29207",
            "address_2": "DEPT MEDICINA DE EMERGENCIAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290207",
            "telephone_number": "787-757-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE 65 INFANTERIA UPR HOSPITAL CARR 3 KM 8.3",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE 1ST FLOOR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-757-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SANTIAGO PAGAN",
        "first_name": "JOAKYNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "18682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.