Doctor Name: | YOLANDA PAGAN |
NPI Number: | 1205817400 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 10560 |
Business Practice Address: | Carreta 2 Km 7.1 Sector Juan Domingo Guaynabo, PR - 00969 |
Business Phone Number: | 7877812140 |
Business Fax Number: | |
Mailing Address: | Ave E Pol 497 #78, La Cumbre SAN JUAN |
State: | PR |
Postal Code: | 00926 |
Phone Number: | 7877920054 |
Fax Number: | 7877826230 |
NPI Enumeration Date: | 11/07/2005 |
NPI Last Update Date: | 01/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 10560 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |