Active NPIIndividual providerSole proprietor

Dr. Ileana Pagan-Medina, PSYD

Psychologist, Clinical in San Juan, Puerto Rico

NPI Number1134252760
Practice location
Veterano 207 Calle A, San Juan, PR 00926-2716
Fax
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Last updated
May 21, 2024

Ileana Pagan-Medina is a Psychologist, Clinical based in San Juan, PR. Ileana Pagan-Medina practices in San Juan, PR and has the professional credentials of PSYD. The NPI Number for Ileana Pagan-Medina is 1134252760 and holds a License No. 2778 (PR). The current practice location address for Ileana Pagan-Medina is Veterano 207 Calle A, San Juan, PR 00926-2716 and can be reached out via phone at 787-344-7107.

Provider Profile Details

NPI Number
1134252760
Provider Name
Ileana Pagan-Medina
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
Veterano 207 Calle A, San Juan, PR 00926-2716
Phone Number
787-344-7107
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 13, 2007
Last Update Date
May 21, 2024
Certification Date
May 21, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Veterano 207 Calle A
San Juan, PR 00926-2716
Zip
00926-2716
Phone Number
787-344-7107
San Juan, PR 00926Get directions →

Provider Business Mailing Address Details

Address
Po Box 743
Salinas, PR 00751-0743
City
Salinas
State
PR
Zip
00751-0743
Phone Number
787-344-7107

License Information

License Number
2778
License State
PR
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ileana Pagan-Medina, PSYD?

The NPI number of Dr. Ileana Pagan-Medina, PSYD is 1134252760. It was assigned on March 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Ileana Pagan-Medina, PSYD?

Dr. Ileana Pagan-Medina, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 2778.

Where does Dr. Ileana Pagan-Medina, PSYD practice?

The practice location is Veterano 207 Calle A, San Juan, PR 00926-2716. The office can be reached at 787-344-7107 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134252760 directly on the NPPES registry website.

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