Individual
CRISTINA IVELISSE PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
CARR 149 KM 13, CIALES, PR 00638
(787) 871-0601
(787) 871-3960
Mailing address
PO BOX 1427, CIALES, PR 00638-1427
(787) 871-0601
(787) 871-3960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14072
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14072
—
PR
Enumeration date
03/20/2019
Last updated
03/20/2019
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