Lisandra Pagan Santiago, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

18905 Issued in PR

Practice address

400 Ave FD Roosevelt Ste 412
San Juan, PR 00918-2163

Phone

(787) 753-1999

Fax

(787) 625-3557

NPI assigned

May 2, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lisandra Pagan Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1780975227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AVE LA SIERRA",
            "address_2": "BOX 18",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264330",
            "telephone_number": "787-753-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT STE 412",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182163",
            "telephone_number": "787-753-1999",
            "fax_number": "787-625-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN SANTIAGO",
        "first_name": "LISANDRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "018905",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "18905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISANDRA",
            "last_name": "PAGAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angel S Pagan Jimenez
• Maria Del Carmen Pagan Lopez
• Ruthy Marie Pagan Montanez
• Mariel Pagan Morales, PHARM.D.
• John M Pagan Padilla, M.D.
• 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

• Gynecology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.