Agada, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14387 Issued in PR

Legal business name

AGADA, LLC

Practice address

Ba-22 Ave. Monserrate Calle Tulipan
Carolina, PR 00983-3309

Phone

(787) 752-6505

Fax

(787) 752-6505

NPI assigned

Nov 5, 2013

Last updated

Nov 5, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

AGADA, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Ada G Paisan, MD

Title

Dra

Phone

(787) 752-6505

Specialties & licenses 1

Addresses

Part of

Agada LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glorissa Rodriguez-Feliciano, MD

  • General Practice Physician
  • Carolina, PR
  • NPI 1932181708
  NPD (past)

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1942639489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362352",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009362352",
            "telephone_number": "787-752-6505",
            "fax_number": "787-752-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BA-22 AVE. MONSERRATE CALLE TULIPAN",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009833309",
            "telephone_number": "787-752-6505",
            "fax_number": "787-752-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGADA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGADA, LLC",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "PAISAN",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DRA",
        "authorized_official_telephone_number": "787-752-6505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Carolina, PR
• Providers in Carolina, 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 Nov 5, 2013; 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.