Dr. Ileana Pagan, Psy.D.
Psychologist, Clinical in Yauco, PR. Individual provider (NPI-1).
NPI number1356375455
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1356375455
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ileana Pagan
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2006
- Last updated
- Jul 9, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1633 | PR | Yes |
Practice location
Calle 25 De Julio Prolongacion #3Yauco, PR 00698
Phone 787-396-4502 · Fax 787-267-2989
Mailing address
521 Calle MadridYauco, PR 00698-2566
Phone 787-856-4133
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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