Johanna Pagan, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17735 Issued in PR

Practice address

Calle Cena Final 900 Parada 15
La Torre de Plaza Suite 614
San Juan, PR 00920-0000

Phone

(787) 768-1365

NPI assigned

Oct 28, 2009

Last updated

Sep 11, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Primary Physician Care PSC

  • General Practice Physician
  • San Juan, PR
  • NPI 1689810699
  NPD (past)

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1831425743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G.E.S.",
            "address_2": "3ER PISO EDF JESUS T. PINERO AVE. FERNANDEZ JUNCOS ESQ.",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-284-3737",
            "fax_number": "787-284-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CENA FINAL 900 PARADA 15",
            "address_2": "LA TORRE DE PLAZA SUITE 614",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009200000",
            "telephone_number": "787-768-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "JOHANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Pagan, RN
• Desiree Pagan, M.D.,F.A.A.P.
• Edith Marta Pagan, RPH
• Elizabeth Pagan, M.D.
• Iris Rocio Pagan
• Jose A Pagan II, DMD
• Juan Carlos Pagan, D.M.D.
• Katia J Pagan
• Luisana S Pagan
• Stephanie Pagan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.