Individual
DR. LUIS RAIMUNDO PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7100 W 20TH AVE, SUITE G-176, HIALEAH, FL 33016-1897
(305) 826-3366
(305) 826-7973
Mailing address
7100 W 20TH AVE, SUITE G-176, HIALEAH, FL 33016-1897
(305) 826-3366
(305) 826-7973
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME00033362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042852300
—
FL
Enumeration date
07/25/2006
Last updated
07/15/2010
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