# PAGAN CARDIO VASCULAR, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356600936
- **Authorized official:** JOSE DOMINGO PAGAN (PRESIDENT)
- **Authorized official phone:** (631) 901-4025

## Contact information

- **Practice address:** MANATI MEDICAL CENTER-LABORATORIO VASCULAR, URB ATENAS CALLE HERNANDEZ CARRION PRIMER PISO, MANATI, PR 00674
- **Practice address phone:** (787) 621-3777
- **Practice address fax:** (787) 621-3776
- **Mailing address:** 1854 AVE MCLEARY, CHATEAU MCLEARY \#13, SAN JUAN, PR 00911-1301
- **Mailing address phone:** (631) 901-4025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 12860 | PR | Yes |

## Other

- **Enumeration date:** 05/16/2012
- **Last updated:** 07/05/2012