Individual
DR. GABRIEL EMIL PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, PASSII
Contact information
Practice address
VILLA SAN ANDRES, CS UNITE 209, AVE. HOSTOS, MAYAGUEZ, PR 00680-5704
(787) 432-1702
Mailing address
VILLA SAN ANDRES, SUITE 209, AVE. HOSTOS, MAYAGUEZ, PR 00680-5704
(787) 652-1527
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
917
PR
103TC0700X
Clinical Psychologist
Primary
5846
PR
Other
Enumeration date
03/12/2016
Last updated
05/08/2017
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