Doctor Name: | EDGARDO QUINTANA- PAGAN |
NPI Number: | 1245434679 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 237441 |
Business Practice Address: | 200 Ave Rafael Cordero Suite 140 Pmb 509 Caguas, PR - 007253740 |
Business Phone Number: | 7874326583 |
Business Fax Number: | |
Mailing Address: | 200 Ave Rafael Cordero, Suite 140 Pmb 509 CAGUAS |
State: | PR |
Postal Code: | 007253740 |
Phone Number: | 7874326583 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2007 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 237441 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |