Doctor Name: | DR. MAYRA TORRES PAGAN |
NPI Number: | 1336125608 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 13802 |
Business Practice Address: | 39 Calle Munoz Rivera Adjuntas, PR - 006012201 |
Business Phone Number: | 7873782214 |
Business Fax Number: | |
Mailing Address: | 172 Estancias Del Golf Club, PONCE |
State: | PR |
Postal Code: | 00730 |
Phone Number: | 7873782214 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2005 |
NPI Last Update Date: | 06/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13802 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |