Organization
CMDA MEDICAL SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN PAGAN (PRESIDENT)
(787) 780-1445
Entity
Organization
Contact information
Practice address
51 CALLE DR VEVE STE 1, BAYAMON, PR 00961-6374
(787) 780-1445
Mailing address
PO BOX 6181, STATION 1, BAYAMON, PR 00960-5181
(787) 780-1445
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
14638
PR
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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