Doctor Name: | DR. LUIS A. PAGAN CORTES |
NPI Number: | 1093765091 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 15616 |
Business Practice Address: | Urb. Villa Borinquen Buzon 372 Lares, PR - 006690372 |
Business Phone Number: | 7874490099 |
Business Fax Number: | 7878173759 |
Mailing Address: | Urb. Villa Borinquen, Buzon 372 LARES |
State: | PR |
Postal Code: | 006690372 |
Phone Number: | 7874490099 |
Fax Number: | 7878173759 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |