Provider Demographics
NPI:1811869985
Name:JANER PAGAN, YAMILETTE
Entity type:Individual
Prefix:
First Name:YAMILETTE
Middle Name:
Last Name:JANER PAGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE 24 2U-7 MIRADOR DE BAIROA
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:787-608-9856
Mailing Address - Fax:
Practice Address - Street 1:PLAZA 65 SHOPPING CENTER CALLE ALONDRA
Practice Address - Street 2:ESQ RUISENOR LOCAL 26 OFICINA 3
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:939-258-9989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4428235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist