Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 26784 | PR |
N | 111NI0900X | Internist | 26784 | PR |
N | 207R00000X | Internist | MD-44563 | IA |
N | 111NI0900X | Internist | MD-44563 | IA |
N | 207RH0002X | Hospice and Palliative Medicine | MD-44562 | IA |
Y | 207RH0002X | Hospice and Palliative Medicine | P2751 | TX |
NPI | 1386817914 |
---|---|
Provider Name | Juan R Pagan-Ferrer |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2008 |
Last Update Date | 06/10/2020 |