diff --git a/modules/medicos/api/list.php b/modules/medicos/api/list.php
index ae24fe0..c3b5c5c 100644
--- a/modules/medicos/api/list.php
+++ b/modules/medicos/api/list.php
@@ -6,21 +6,35 @@ header('Content-Type: application/json');
 
 $pdo    = Database::getInstance()->getConnection();
 $buscar = trim($_GET['q'] ?? '');
+$page   = max(1, (int)($_GET['page']  ?? 1));
+$limit  = max(1, min(200, (int)($_GET['limit'] ?? 25)));
+$offset = ($page - 1) * $limit;
+
+$where  = '';
+$params = [];
 
 if ($buscar !== '') {
-    $like = '%' . $buscar . '%';
-    $stmt = $pdo->prepare(
-        "SELECT id, codigo, nombres, apellidos, telefonos, email, cod_especialidad, docidmedico, activo
-           FROM medicos
-          WHERE nombres LIKE ? OR apellidos LIKE ? OR codigo LIKE ? OR docidmedico LIKE ?
-          ORDER BY apellidos, nombres"
-    );
-    $stmt->execute([$like, $like, $like, $like]);
-} else {
-    $stmt = $pdo->query(
-        "SELECT id, codigo, nombres, apellidos, telefonos, email, cod_especialidad, docidmedico, activo
-           FROM medicos ORDER BY apellidos, nombres"
-    );
+    $like   = '%' . $buscar . '%';
+    $where  = "WHERE nombres LIKE ? OR apellidos LIKE ? OR codigo LIKE ? OR docidmedico LIKE ?";
+    $params = [$like, $like, $like, $like];
 }
 
-echo json_encode(['ok' => true, 'data' => $stmt->fetchAll(PDO::FETCH_ASSOC)]);
+$countStmt = $pdo->prepare("SELECT COUNT(*) FROM medicos $where");
+$countStmt->execute($params);
+$total = (int)$countStmt->fetchColumn();
+
+$dataStmt = $pdo->prepare(
+    "SELECT id, codigo, nombres, apellidos, telefonos, email, cod_especialidad, docidmedico, activo
+       FROM medicos $where
+      ORDER BY apellidos, nombres
+      LIMIT $limit OFFSET $offset"
+);
+$dataStmt->execute($params);
+
+echo json_encode([
+    'ok'    => true,
+    'data'  => $dataStmt->fetchAll(PDO::FETCH_ASSOC),
+    'total' => $total,
+    'page'  => $page,
+    'limit' => $limit,
+]);
diff --git a/modules/medicos/views/index.php b/modules/medicos/views/index.php
index 2b02dd9..eba91d9 100644
--- a/modules/medicos/views/index.php
+++ b/modules/medicos/views/index.php
@@ -29,6 +29,23 @@ $API = BASE_URL . 'modules/medicos/api/';
                  font-size: .75rem; font-weight: 600; }
     .acciones { display: flex; gap: 6px; }
     #tbl-empty { text-align: center; padding: 3rem; color: #94a3b8; }
+    .pag-bar {
+        display: flex; align-items: center; justify-content: space-between; flex-wrap: wrap; gap: .5rem;
+        padding: 10px 16px; border-top: 1px solid #e2e8f0; background: #f8fafc;
+    }
+    .pag-bar .pag-info { font-size: .8rem; color: #64748b; }
+    .pag-controls { display: flex; gap: 4px; align-items: center; }
+    .pag-btn {
+        min-width: 32px; height: 32px; padding: 0 8px;
+        border: 1px solid #e2e8f0; border-radius: 7px; background: #fff;
+        font-size: .82rem; color: #374151; cursor: pointer; font-weight: 500;
+        display: flex; align-items: center; justify-content: center;
+        transition: background .12s, border-color .12s;
+    }
+    .pag-btn:hover:not(:disabled) { background: #eff6ff; border-color: #bfdbfe; color: #1d4ed8; }
+    .pag-btn.active { background: #2563eb; color: #fff; border-color: #2563eb; }
+    .pag-btn:disabled { opacity: .4; cursor: not-allowed; }
+    .pag-ellipsis { font-size: .82rem; color: #94a3b8; padding: 0 4px; line-height: 32px; }
 </style>
 
 <div class="page-header">
@@ -60,10 +77,14 @@ $API = BASE_URL . 'modules/medicos/api/';
                     </tr>
                 </thead>
                 <tbody id="tbl-body">
-                    <tr id="tbl-empty"><td colspan="6">Cargando…</td></tr>
+                    <tr id="tbl-empty"><td colspan="7">Cargando…</td></tr>
                 </tbody>
             </table>
         </div>
+        <div class="pag-bar" id="pag-bar" style="display:none">
+            <span class="pag-info" id="pag-info"></span>
+            <div class="pag-controls" id="pag-controls"></div>
+        </div>
     </div>
 </div>
 
@@ -150,6 +171,7 @@ $API = BASE_URL . 'modules/medicos/api/';
 <script>
 const API = '<?= $API ?>';
 let _modal, _modalDel, _pendingDelId, _buscarTimer;
+let _page = 1, _limit = 25, _total = 0, _q = '';
 
 document.addEventListener('DOMContentLoaded', () => {
     _modal    = new bootstrap.Modal(document.getElementById('modalMedico'));
@@ -157,24 +179,33 @@ document.addEventListener('DOMContentLoaded', () => {
     cargar();
 });
 
-async function cargar(q = '') {
-    const url = API + 'list.php' + (q ? '?q=' + encodeURIComponent(q) : '');
-    const res  = await fetch(url);
+async function cargar(q = _q, page = _page) {
+    _q    = q;
+    _page = page;
+    const params = new URLSearchParams({ page, limit: _limit });
+    if (q) params.set('q', q);
+    const res  = await fetch(API + 'list.php?' + params);
     const json = await res.json();
     if (!json.ok) return;
+    _total = json.total;
+    _page  = json.page;
     renderTabla(json.data);
+    renderPaginacion();
 }
 
 function buscar() {
     clearTimeout(_buscarTimer);
-    _buscarTimer = setTimeout(() => cargar(document.getElementById('inp-buscar').value.trim()), 280);
+    _buscarTimer = setTimeout(() => cargar(document.getElementById('inp-buscar').value.trim(), 1), 280);
 }
 
 function renderTabla(rows) {
     const body = document.getElementById('tbl-body');
-    document.getElementById('lbl-total').textContent = rows.length + ' médico(s)';
+    const desde = (_page - 1) * _limit + 1;
+    const hasta = Math.min(_page * _limit, _total);
+    document.getElementById('lbl-total').textContent =
+        _total ? `${desde}–${hasta} de ${_total} médico(s)` : '0 médicos';
     if (!rows.length) {
-        body.innerHTML = '<tr id="tbl-empty"><td colspan="6">Sin resultados.</td></tr>';
+        body.innerHTML = '<tr id="tbl-empty"><td colspan="7">Sin resultados.</td></tr>';
         return;
     }
     body.innerHTML = rows.map(m => `
@@ -198,6 +229,37 @@ function renderTabla(rows) {
         </tr>`).join('');
 }
 
+function renderPaginacion() {
+    const totalPages = Math.ceil(_total / _limit);
+    const bar        = document.getElementById('pag-bar');
+    const info       = document.getElementById('pag-info');
+    const ctrl       = document.getElementById('pag-controls');
+
+    if (totalPages <= 1) { bar.style.display = 'none'; return; }
+    bar.style.display = 'flex';
+    info.textContent  = `Página ${_page} de ${totalPages}`;
+
+    // Compute page window: always show first, last, current ±2
+    const pages = new Set([1, totalPages, _page]);
+    for (let i = _page - 2; i <= _page + 2; i++) if (i > 0 && i <= totalPages) pages.add(i);
+    const sorted = [...pages].sort((a, b) => a - b);
+
+    let html = '';
+    html += `<button class="pag-btn" onclick="cargar(_q,${_page-1})" ${_page===1?'disabled':''}>
+                 <i class="fas fa-chevron-left"></i>
+             </button>`;
+    let prev = 0;
+    for (const p of sorted) {
+        if (prev && p - prev > 1) html += `<span class="pag-ellipsis">…</span>`;
+        html += `<button class="pag-btn ${p===_page?'active':''}" onclick="cargar(_q,${p})">${p}</button>`;
+        prev = p;
+    }
+    html += `<button class="pag-btn" onclick="cargar(_q,${_page+1})" ${_page===totalPages?'disabled':''}>
+                 <i class="fas fa-chevron-right"></i>
+             </button>`;
+    ctrl.innerHTML = html;
+}
+
 function abrirModal(m = null) {
     document.getElementById('modal-titulo').textContent = m ? 'Editar médico' : 'Nuevo médico';
     document.getElementById('modal-alert').classList.add('d-none');
@@ -247,7 +309,7 @@ async function guardar() {
             return;
         }
         _modal.hide();
-        cargar(document.getElementById('inp-buscar').value.trim());
+        cargar(_q, _page);
     } finally {
         btn.disabled = false;
         btn.innerHTML = '<i class="fas fa-save me-1"></i>Guardar';
@@ -272,7 +334,7 @@ async function confirmarEliminar() {
         const json = await res.json();
         if (json.ok) {
             _modalDel.hide();
-            cargar(document.getElementById('inp-buscar').value.trim());
+            cargar(_q, _page);
         }
     } finally {
         btn.disabled = false;