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Individual

DR. EDWIN E PAGAN LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
803 AVE HIPODROMO, SANTURCE, PR 00909-2516
(787) 724-3734
(787) 724-1322
Mailing address
HC 1 BOX 8164, LOIZA, PR 00772-9800
(787) 876-0458

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7971
PR
207R00000X
Internal Medicine Physician
D32409
MD
2083X0100X
Occupational Medicine Physician
Primary
7971
PR
208D00000X
General Practice Physician
161645
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2-7971
CIGNA INSURANCE
PR
01
8-0985PA
TRIPLE S INC (BLUE SHIELD
PR
01
9270124
HUMANA HEALTH PLANS
PR
Enumeration date
12/07/2005
Last updated
02/08/2013
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