Doctor Name: | MRS. ADA G PAISAN |
NPI Number: | 1588627137 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 14387 |
Business Practice Address: | Ave Monserrate Bh 12 Valle Arriba Heights Carolina, PR - 00983 |
Business Phone Number: | 7877526505 |
Business Fax Number: | 7877526505 |
Mailing Address: | Po Box 362352, SAN JUAN |
State: | PR |
Postal Code: | 009362352 |
Phone Number: | 7877526505 |
Fax Number: | 7877526505 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 09/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |