Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 5034 | PR |
N | 2080P0210X | Pediatric Nephrologist | 5034 | PR |
NPI | 1922135029 |
---|---|
Provider Name | Urbano Pagan |
First Address | Ponce, PR 00732-9069 |
Second Address | Ponce, PR 00717-2115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 08/07/2007 |