Individual
LUIS JAVIER BRAVO PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22707 S ELLSWORTH RD STE H101, QUEEN CREEK, AZ 85142-7568
(480) 792-9200
Mailing address
PG140 PACIFICA, ENCANTADA, TRUJILLO ALTO, PR 00976
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
73070
AZ
208000000X
Pediatrics Physician
Primary
73070
AZ
Other
Enumeration date
09/18/2019
Last updated
07/04/2025
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