Jaydee Liz Pagan-Pallens, MD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6107 Issued in PR

Practice address

759 Ave Avelino Vicente
San Juan, PR 00909-2538

Phone

(787) 303-9662

NPI assigned

Jun 27, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1760977151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9744",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009080744",
            "telephone_number": "787-303-9662",
            "fax_number": "787-303-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 AVE AVELINO VICENTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092538",
            "telephone_number": "787-303-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN-PALLENS",
        "first_name": "JAYDEE",
        "middle_name": "LIZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PR",
            "license": "6107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "103T00000X",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Pagan Padilla, M.D.
• Lisandra Pagan Santiago, M.D.
• Evelyn Eugenia Pagan Santini, MD
• Ileana Pagan-Medina, PSY.D.
• Myrna M. Pagan-Ortiz, M.D.
• Vianca Mary Pagan-Rivera, SLP
• Alexis R. Pagan, DMD
• Andrea Cristina Pagan
• Angel Gabriel Pagan, M.D.
• Annette L Pagan, MD

• Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.