Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 16713 | PR |
N | 111NI0900X | Internist | 16713 | PR |
Y | 207RN0300X | Nephrologist | 16713 | PR |
NPI | 1013134709 |
---|---|
Provider Name | Dr. Pedro Carlos Pagan Torres |
First Address | Cabo Rojo, PR 00623-0203 |
Second Address | San German, PR 00683 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2007 |
Last Update Date | 24/08/2018 |