Active NPI
Grace Janice Pagan, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Arecibo, PR
National Provider Identifier
1912127689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2554
- Practice address
- Sector Barranca
Carr. 653 KM 2.2
Arecibo, PR 00612 - Phone
- (787) 816-8674
- Fax
- (787) 816-8674
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2554 | PR | Primary |
Addresses
Primary practice location
Sector Barranca
Carr. 653 KM 2.2
Arecibo, PR 00612
Mailing address
16 Coconut CT
Vega Alta, PR 00692
Phone (787) 225-8208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912127689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 COCONUT CT",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-225-8208",
"fax_number": "787-816-8674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SECTOR BARRANCA",
"address_2": "CARR. 653 KM 2.2",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-816-8674",
"fax_number": "787-816-8674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGAN",
"first_name": "GRACE",
"middle_name": "JANICE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PR",
"license": "2554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
- Stephanie Marie Pagan Molina, ENFERMERA BSN
- Miguel Damian Pagan Rios
- Zoelia Pagan Soto
- Daniela Pagan, LCDA.
- Diana N Pagan, CPHT
- Emily Pantojas-Laza, PSY. D.
- Luis Paraliticci Morales, M.D.
- Rafael E Paz Jr.
- Pediatric Dental Clinic Dra. Yadira Garcia Sotomayor, P.S.C.
- Pediatrix Medical Group of Puerto Rico, P.S.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.