Provider Demographics
NPI:1679860118
Name:DE SANTIAGO PAGAN, JOAKYNA (MD)
Entity Type:Individual
Prefix:DR
First Name:JOAKYNA
Middle Name:
Last Name:DE SANTIAGO PAGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 29207
Mailing Address - Street 2:DEPT MEDICINA DE EMERGENCIAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0207
Mailing Address - Country:US
Mailing Address - Phone:787-757-1800
Mailing Address - Fax:
Practice Address - Street 1:AVE 65 INFANTERIA UPR HOSPITAL CARR 3 KM 8.3
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE 1ST FLOOR
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-757-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18682207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine