Active NPI
Myrna M. Pagan-Ortiz, M.D.
- General Practice Physician
- San Juan, PR
National Provider Identifier
1942403100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 3843
- Practice address
- S7-18 Calle 8
Villas de Parana
San Juan, PR 00926-6130 - Phone
- (787) 720-6399
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 3843 | PR | Primary |
Addresses
Primary practice location
S7-18 Calle 8
Villas de Parana
San Juan, PR 00926-6130
Mailing address
S7-18 Calle 8
Villas de Parana
San Juan, PR 00926-6130
Phone (787) 720-6399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 24, 2016 through Feb 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3843 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1942403100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S7-18 CALLE 8",
"address_2": "VILLAS DE PARANA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266130",
"telephone_number": "787-720-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S7-18 CALLE 8",
"address_2": "VILLAS DE PARANA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266130",
"telephone_number": "787-720-6399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGAN-ORTIZ",
"first_name": "MYRNA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "3843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.