Individual
BRANDON THOMAS PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 PR-696, DORADO, PR 00646
(787) 625-5050
Mailing address
7047 21ST ST N, ST PETERSBURG, FL 33702-4851
(787) 461-6681
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
10784
GA
2085R0202X
Diagnostic Radiology Physician
19771
PR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
19771
PR
Other
Enumeration date
01/22/2015
Last updated
07/16/2024
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