Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 7971 | PR |
N | 111NI0900X | Internist | 7971 | PR |
N | 207R00000X | Internist | D32409 | MD |
N | 111NI0900X | Internist | D32409 | MD |
N | 208D00000X | General Practice Physician | 161645 | NY |
NPI | 1023093523 |
---|---|
Provider Name | Dr. Edwin E Pagan Lopez |
First Address | Loiza, PR 00772-9800 |
Second Address | Santurce, PR 00909-2516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2005 |
Last Update Date | 08/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2-7971 | CIGNA INSURANCE (01) | PR |
2-7971 | MCS CARD SYSTEM (01) | PR |
8-0985PA | TRIPLE S INC (BLUE SHIELD (01) | PR |
9270124 | HUMANA HEALTH PLANS (01) | PR |