Individual
MORAIMA PAGAN LA TORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
#5 CALLE SANTIAGO IGLESIAS, JUANA DIAZ, PR 00795-0000
(787) 260-0087
(787) 260-0087
Mailing address
PO BOX 801307, COTO LAUREL, PR 00780-1307
(787) 223-6537
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
017362
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017362
MEDICAL LICENSE
PR
Enumeration date
09/30/2008
Last updated
03/14/2011
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