Organization
LUIS R PAGAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS R PAGAN M.D. (PRESIDENT)
(305) 826-3366
Entity
Organization
Contact information
Practice address
7150 W 20TH AVE STE 614, HIALEAH, FL 33016-5511
(305) 826-3366
(305) 826-7973
Mailing address
7150 W 20TH AVE STE 614, HIALEAH, FL 33016-5511
(305) 826-3366
(305) 826-7973
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME0033362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042852300
—
FL
Enumeration date
03/14/2013
Last updated
10/05/2018
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