Doctor Name: | DR. HIRAM PABON MATEO |
NPI Number: | 1851467476 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 5219 |
Business Practice Address: | 3 West Enrique Gonzalez St Guayama, PR - 00784 |
Business Phone Number: | 7878641400 |
Business Fax Number: | |
Mailing Address: | Po Box 750, GUAYAMA |
State: | PR |
Postal Code: | 00785 |
Phone Number: | 7878641400 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 12/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5219 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |