| Doctor Name: | EVELYN PAGAN |
| NPI Number: | 1174852826 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | Ave. Padre Rivera #4 Humacao, PR - 00791 |
| Business Phone Number: | 7876565360 |
| Business Fax Number: | 7876565356 |
| Mailing Address: | Po Box 1283, Pmb 457 SAN LORENZO |
| State: | PR |
| Postal Code: | 007541283 |
| Phone Number: | 7876053154 |
| Fax Number: | 7877330827 |
| NPI Enumeration Date: | 12/09/2009 |
| NPI Last Update Date: | 12/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |