Jannisse Pagan Cardona, MD

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

11880 Issued in PR

Practice address

1815 Road #2 KM 11.7
Bayamon, PR 00959-7279

Phone

(787) 780-9069

Fax

(787) 780-2121

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

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

Specialty

Nuclear Medicine

Education

University of Puerto Rico School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pet Imaging Radiology PSC

  • Nuclear Radiology Physician
  • Bayamon, PR
  • NPI 1740221167

  PR

  Medicare reassignment NPD
• CT Radiology Complex, LLC

  • Diagnostic Radiology Physician
  • Bayamon, PR
  • NPI 1558356493

  Nuclear Medicine

  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1801945522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CALLE ALBORADA",
            "address_2": "PASEO DEL PRADO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009877616",
            "telephone_number": "787-276-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 ROAD #2 KM 11.7",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597279",
            "telephone_number": "787-780-9069",
            "fax_number": "787-780-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN CARDONA",
        "first_name": "JANNISSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PR",
            "license": "11880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliud Padilla, D.M.D.
• Judith Marie Padilla
• Bryan Padua Guerra
• Samuel O Padua Perez, M.D.
• Maria Eugenia Paez
• Enid Pagan Miranda, M.D.
• Yaritza Marie Pagan Perez
• Juan Pagan Rodriguez, M.D.
• Damaris Pagan Torres, O.D.,
• Denise S. Pagan-Diaz, O.D.

• All providers in Bayamon, PR
• Nuclear Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.
• 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.

Verify at the official NPI Registry.