Organization
PUERTO RICO ENDOVASCULAR & VASCULAR SOLUTION, P.S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE DOMINGO PAGAN (ENDOVASCULAR AND VASCULAR SURGEON)
(787) 723-4525
Entity
Organization
Contact information
Practice address
161 CALLE SAN JORGE, SUITE 402, SAN JUAN, PR 00911-2176
(787) 723-4525
(787) 721-2574
Mailing address
161 CALLE SAN JORGE, SUITE 402, SAN JUAN, PR 00911-2176
(787) 723-4525
(787) 721-2574
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12860
MEDICAL LICENSE
—
Enumeration date
10/17/2012
Last updated
10/17/2012
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